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[PDF File]DR 2395 (04/02/15) COLORADO DEPARTMENT OF REVENUE ...
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After obtaining a registration, you will be required to sign an affirmation clause indicating compliance with insurance require ments. Unless a person waives his or her confidentiality, the information contained in the person’s motor vehicle record shall not be used for any purpose other than a
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[PDF File]MEDICARE ENROLLMENT APPLICATION
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BILLING NUMBER AND NATIONAL PROVIDER IDENTIFIER INFORMATION. The Provider Transaction Access Number (PTAN), often referred to as a Medicare Supplier Number or Medicare Billing Number is a generic term for any number other than the National Provider Identifier (NPI) that is used by a practitioner to bill the Medicare program.
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[PDF File]POWER OF ATTORNEY FOR A MOTOR VEHICLE, MOBILE …
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(Driver License, Identification Card or FEID Number for Co-Owner) (Date of Birth for Co-Owner, if applicable) _____ (Co-Owner’s Address) (City) (State) (Zip) This non-secure power of attorney form may be used when an individual or entity appointed as the attorney in fact will
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[PDF File]PISTOL SALES RECORD MICHIGAN STATE POLICE PISTOL …
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receiving the registry copy of this form shall enter the information into the pistol registration database within ten days and forward the form to the Michigan State Police within 48 hours. ... OR Business Name if FFL Dealer Seller FFL Number . 4. NICS Transaction Number . 5. Seller Signature Date of Sale. PURCHASER COPY. Authority: MCL 28.422a ...
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[PDF File]Form 149 - Sales and Use Tax Exemption Certificate
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Name Telephone Number Missouri Tax I.D. Number (___ ___ ___) ... 149 Sales and Use Tax Exemption Certificate. Form 149 (Revised 11-2018) ... The purchaser’s state tax ID number can be found on the Missouri Retail License or out of state registration for retail sales.
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REG 256, Statement of Facts
Title: REG 256, Statement of Facts Author: CA DMV Subject: Index ready This form is used in a variety of situations, such as, but not limited to:\nUse Tax Exemption Statement \nSmog Exemption Statement \nTransfer Only or Title Only Statement \nWindow Decal for Wheelchair Lift or Wheelchair Carrier \nVehicle Body Change Statement $Ownership Certificate Required$ \nName Statement \(Ownership ...
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[PDF File]VERIFICATION OF VEHICLE IDENTIFICATION NUMBER
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Dealer Number Licensed Colorado Emission Station Number County Assessor (at their discretion) County Clerk (at their discretion) Colorado Law Enforcement Other * Name of Business or Agency Address City State ZIP Code I certify, under penalty of perjury in the second degree, that I have completed a physical inspection of the vehicle/manufactured ...
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[PDF File]5304-SIMPLE Savings Incentive Match Plan Form for ...
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number from 1 to 3 and is subject to certain restrictions) of your compensation for the year; or (3) A nonelective contribution equal to 2% of your compensation for the year (limited to compensation of $250,000*) if you are an employee who
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[PDF File]Form W-9 (Rev. October 2018)
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Business name/disregarded entity name, if different from above. 3. Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only . one. of the ... The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and ...
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[PDF File]FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR …
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8 motor vehicle identification number verification this section requires a physical inspection and a verification of the vehicle identification number (vin) (or the motor number for motor vehicles manufactured prior to 1955) of the motor vehicle described on this form by a licensed dealer, florida notary public, police officer, or florida division of motor vehicles
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Business registration number lookup