Authorized person designation/notarized sworn statement form nys justice center for the protection of people with special needs criminal background check unit 161 delaware avenue delmar, ny 12054, fax: 518-549-0464 email: cbc justicecenter.ny.gov...
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Bac form g4 omnibus sworn statement republic of the philippines ) ) ss affidavit i, , of legal age, single/married, filipino, and residing at , after having been duly sworn in accordance with law, do hereby depose and state that: 1. i am the duly...
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Oregon department of environmental quality clean water state revolving fund attachment 2.1 sworn statement compliance with small, women or minority business utilization requirements each bidder must comply with small, women and minority business...
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Sworn statement in proof of losspursuant to s. 817. 234, florida statutes, any person who, with the intent to injure, defraud,or deceive any insurer or insured, prepares, presents, or causes to be presented a proof ofloss or estimate of cost or...
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Sworn statement--individual state of michigan county of ) ) ) , being duly sworn, deposes and says: that is the (contractor)(subcontractor) for an improvement to the following described real property situated in county, michigan, described as...
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Sworn statement enrolment services 27 quebec residency situation 8 i am a canadian citizen born outside canada and i have never lived in another canadian province before coming to live permanently in quebec. concordia student id: concordia...
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Sworn statement of identity theft to be completed by customer and provided to financial institution please complete this form and return it to your financial institution with a copy of the police report or the case/offense number from a police...
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Under $5, asset certification orsworn statement of net household assetsincluded for your use is a sworn statement of net household assets (sworn statement) with thedefinition of net household assets as described in 24 cfr 813.102. revenue...
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Sworn statement proof of residence complete section 1 or 2, depending on your situation see instructions on reverse side 1?: to be completed by the person making a sworn statement about his/her own domicile section i, the undersigned, , domiciled...
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Sworn statement location date time file number last name, first name, middle name ssn grade / status organization or address i, , want to make the following statement under oath: (print name) exhibit initials of person making statement page of...
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Virginia department of social services (model form) page 1 of 6 sworn statement or affirmation for foster and adoptive parents, adult household members please print last name current mailing address first middle maiden city social security number...
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Sworn statement pursuant to section 287.133(3)(a), florida statutes on public entity crimes this form must be signed and sworn to in the presence of a notary public or other official authorized to administer oaths. a. this sworn statement is...
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Sworn statement index no. 041-22 province of iloilo revised, january 1977 sworn statement of the true current and fair market value of real properties (taxable or exempt) (required under section 202 of republic act 7160) i , of legal age, , and...
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Virginia department of social services (model form) sworn statement or affirmation for adult facility employees to the applicant: section 63.21720 of the code of virginia requires that any person desiring work at a licensed assisted living...
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Sworn statement index no. sworn statement of the true current and fair market value of real properties (taxable or exempt) (required under section 202/203 of republic act no. 7160) i, , of legal age, and with postal address at (citizenship) (civil...
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