Affidavit of ownership and indemnity agreement the undersigned claims : 1. r s c 0 1 s r that he/she is the owner of the following unclaimed funds presently being held by the walworth county treasurer. 2 . ii' that his/her ownership of such funds...
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Affidavit to establish ownership of a manufactured structure department of consumer and business services building codes division web: bcd.oregon.gov home information home id number (if known): dmv x-plate number (if known): title/ownership...
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Office use only washington state department of agriculture pesticide management division po box 42560 olympia, wa 985042560 toll free 8773014 email: license agr.wa.gov commercial applicator pesticide license affidavit of management responsibility...
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Print typecountyclear formaffidavit of individual tax exemption see reverse for instructionsfilepart ii. disabled (totally and permanently) name:spouses name date of medical certificate address: 1. none of my children under 18 years of age resided...
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Parking affidavit of non-ownership complete this affidavit if you were not the owner when the vehicle was ticketed. si usted no era el propietario del vehiculo cuando se expidi la infracci n, llene acta de constancia. i was not the owner of a with...
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Small employer group affidavit of ownership and hours worked mn state of minnesota, county of i, , being duly sworn on oath, depose and state as follows: 1. i am the owner of the business known as 2. check one: i am the sole owner, 100% ownership...
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Dmv-62-tr rev. 02/10 state of west virginia department of transportation division of motor vehicles 5707 maccorkle avenue s.e. suite 200 charleston, west virginia 25317 affidavit of builder the following information must be provided and attached...
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1600 east century avenue, suite 1 po box 5585 bismarck nd 585065585 telephone 18005033 fax 7013283750 tty (hearing impaired) 18003 fraud and safety hotline 18002431 .workforcesafety.com verification of nonemployment employer services/ phs division...
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Business tax receipt division department for community sustainability city of lake worth nd 1900 2 avenue north lake worth, fl 33461 561.586.1647 non-rental residential property registration $25.00 annual fee required *affidavit of non-rental...
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Print form clear form declaration of non-ownership (or) lease/rental) 40209 / 40210 instructions: you are charged with a parking violation. under california vehicle code section 40200, the registered owner and driver, rentee, or lessee are jointly...
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Dmv-5-tr rev 11/12 west virginia department of transportation division of motor vehicles affidavit of transfer of ownership without consideration i, , do hereby transfer to name of current vehicle owner year model 1-800-642-9066 .dmv.wv.gov a name...
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Affidavit of construction of a homemade trailer 3 lb gross weight trailer i/we have constructed a homemade trailer and do attest to the origin of the major parts used in the construction of the trailer. all original receipts that are submitted...
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Reset form odometer disclosure statement state form 43230 (r3 / 5-13) indiana bureau of motor vehicles instructions: 1. 2. 3. in accordance with federal and state law, the seller of a motor vehicle must disclose the current mileage to a purchaser...
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Affidavit of ownership of motor vehicle for which application for title under bond or cash is made *mvct-59 from department of public safety required* form 78-013-10 the state of mississippi, county of before me the undersigned has this day...
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