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[PDF File]Form ST-124:(12/15):Certificate of Capital Improvement:ST124
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Address (number and street) Address (number and street) City State ZIP code City State ZIP code Sales tax Certificate of Authority number (if any) ... real property (for example, a free-standing microwave or washing machine). I understand that: • I will be responsible for any sales tax, interest, and penalty due on the contractor’s total ...

[PDF File]Request for Leave or Approved Absence
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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))

[PDF File]TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT
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Employer’s Fax Number or Email Address (if known) 8. Facility/Doctor Address (Street, City, State, ZIP Code) 11. Insurance Carrier 12. Carrier’s Fax Number or Email Address (if known) ... right to free assistance from the Texas Department of Insurance, Division of Workers’ Compensation (DWC) and may be entitled to certain medical and

[PDF File]APPLICATION FOR ENROLLMENT IN MEDICARE PART B …
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address. 6. Phone Number: Write your 10-digit phone number, including area code. 7. Written Signature: Sign your name in this section in the same way you would sign it for any other official document. Do not print. If you’re unable to sign, you may mark an “X” in this field. In …

[PDF File]PERSONNEL ACTION
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PERSONNEL ACTION. To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8. Identification Card. Identification Tags

[PDF File]Form W-9 (Rev. October 2018)
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than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or

[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

[PDF File]Management Preparing and Managing Correspondence
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Information Management: Records Management Preparing and Managing Correspondence *Army Regulation 25–50 Effective 17 June 2013 H i s t o r y . T h i s p u b l i c a t i o n i s a n a d m i n i s t r a t i v e r e v i s i o n . T h e p o r t i o n s affected by this administrative revision are listed in the summary of change. S u m m a r y .

[PDF File]CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) …
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description of operations / locations / vehicles (attach acord 101, additional remarks schedule, if more space is required) insr ltr type of insurance policy number policy eff (mm/dd/yyyy) policy exp (mm/dd/yyyy) limits wc statu-tory limits oth-er e.l. each accident e.l. disease - ea employee e.l. disease - policy limit $ $ $ any proprietor ...

Create company email address free