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[PDF File]Form 433-F (February 2019) Collection Information Statement
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model and year. If a vehicle is leased, write “lease” in the “year purchased” column. List whole life insurance policies with the name of the insurance company. List other assets with a description such as “paintings”, “coin collection”, or “antiques”. If applicable, include business assets, such …
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[PDF File]SURRENDER OF A REGISTRATION PLATE For Department Use …
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SURRENDER OF A REGISTRATION PLATE Registration Plate Must be Attached For Department Use Only Bureau of Motor Vehicles • 1101 S. Front Street • Harrisburg, PA 17104 MV-141 (4-18) www.dmv.pa.gov q q q q q q q q D Law Enforcement/PennDOT Locations The registration plate listed above was surrendered on _____ to the authorized agent below:
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[PDF File]www.dmv.pa.gov APPLICATION FOR DUPLICATE CERTIFICATE …
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4. If the title was never received due to being lost in the mail, no fee is required if this application is filed within 90 days from the date it was issued. NoTe:Address listed in Section A may only reflect the vehicle owner's bona fide street address. 5. The vehicle owner(s) or authorized person’s signature(s) must be notarized. 6. Fee:$55.
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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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Provides full-scope, no SOC health care services (medical, dental, and vision), through fee-for-service Medi-Cal, to pregnant women who are California residents with a MAGI above 213 percent and up to and including 322 percent of the FPL. This code is not valid for an infant using the mother’s ID. ... Aid Codes Master Chart (aid codes) ...
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[PDF File]APPLICATION FOR CERTIFICATE OF TITLE AND REGISTRATION
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The information, including Social Security Number, is requested in accordance with Virginia Code §§46.2-623 and 46.2-629. Any person who refuses to supply the required information will be denied a certificate of title and/or registration.
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[PDF File]Nebraska Resale or Exempt Sale Certificate FORM for Sales ...
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I further certify that we are engaged in business as a: c Wholesaler c Retailer c Manufacturer c Lessor Description of Product Sold, Leased, or Rented of _____ My …
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[PDF File]2766 Property Transfer Affidavit
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Michigan Department of Treasury 2766 (Rev. 05-16) L-4260 Property Transfer Affidavit This form is issued under authority of P.A. 415 of 1994. Filing is mandatory. This form must be filed whenever real estate or some types of personal property are transferred (even if you are not recording a deed).
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[PDF File]Form DTF-802:5/15: Statement of Transaction - Sale or Gift ...
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Page 2 of 2 DTF-802 (5/15) Purchaser certification – I certify that the above statements are true and complete; and I make these statements with the knowledge that willfully issuing a false or fraudulent statement with the intent to evade tax is a misdemeanor under Tax Law
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[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
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[PDF File]01-339 Sales and Use Tax Resale Certificate / Exemption ...
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I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at thetime of purchase, will be used in a mannerother than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.
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Turn in fee leased car