Application and affidavit for public defender services name (mr./ms.): social security no.: - - county (case filed): case number: address: city: state: zip: phone number: ( ) - alternative number: ( ) - d/o/b: / / email address: . be advised...
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Colorado department of lawconsumer protection section, uniform consumer credit coderalph l. carr colorado judicial center1300 broadway, 6th floordenver, co 80203telephone: (720) 508-6010fax: (720) 508-6033personal affidavitto be completed by each...
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Philadelphia affidavit form.pdf to download full version "philadelphia affidavit form.pdf " copy this link into your browser: http://.pdfspath.net/get/4/philadelphia affidavit form.pdf general affidavit city of philadelphia records department...
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Print form reset form affidavit of amendment to a florida certificate of fetal death (see instructions on page 2) enter correct information concerning infant state of florida department of heath state file no. name of infant (type of print) date...
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State of california power adjustment factors cecnrcilti05e (revised 04/16) california energy commission certificate of installation power adjustment factors nrcilti05e (page 1 of 4) project name: enforcement agency: permit number: project address:...
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County of los angeles department of public social services gain case management services rfp gcm #09-01 appendix c county required forms, ordinances & policies, and other forms november 24, 2009 prepared by department of public social services...
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Financial disclosure / affidavit of indigency applicant's name mailing address case no. ($25.00 application fee may be assessed--see notice on reverse side) i. personal information d.o.b. person represented's name (if juvenile) city phone ( ) ii....
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Enter your own header line in this space in the circuit court of first judicial circuit, in and for escambia county, florida paul a. sample , and petitioner, , respondent. case no.: fa-2009-489 division: family martha c. sample family law...
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Sworn affidavit sample florida.pdffree download hereflorida general affidavit & guide legalzoomhttp://.legalzoom.com/assets/legalforms/legalzoom%20florida%20general%20affidavit.pdfflorida general affidavit instructions sample florida general...
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Annexure lspecimen affidavit for a passport in lieu of lost/ damagedpassport(this affidavit is to be executed on nonjudicial stamp paper of minimum value in thepresence of first class magistrate/notary public on the following points)i. s/o, d/o,...
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Missouri department of revenue taxation bureau withholding affidavit for missouri residents form mo w-4c (rev. 11-2006) employer: retain this form mo w-4c for your records. the department of revenue may request a copy for verification, if...
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Affidavit of registered domestic partnershipto enroll your registered domestic partner (same sex) in your health plan, you must complete this form and submit it to uoeap. please note that if you have previously filed a declaration of domestic...
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Texas department of housing and community affairs manufactured housing division p. o. box 12489 austin, texas 78711-2489 (800) 500-7074, (512) 475-2200 fax (512) 475-1109 clear all form fields internet address: .tdhca.state.tx.us/mh/index.htm...
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Texas workforce commission career schools and colleges owner s affidavit school name: school address: note: this form must be executed and submitted by each of the following individuals: 1. in the case of a career school or college owned by an...
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Religious bona fides affidavit commonwealth of virginia city of hampton ) ) ) in the matter of david alan carmichael virginia drivers permit comes now leonard day riley, and after being duly sworn, testifies as follows: 1. my name is leonard day...
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