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Form 3911 (Rev. 4-2009) - Internal Revenue Service

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Form 3911 (Rev. 4-2009) - Internal Revenue Service

Form 3911 (Rev. A Depa rtmen of the T easu y – Internal Revenue Service OMB NO. 1545-1384 pril 2009) Taxpayer Statement Regarding Refund The box checked below is in reply to your inquiry on about your Federal tax return for

http://www.irs.gov/pub/irs-pdf/f3911.pdf

Date added: October 2, 2011 - Views: 284

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When To Make the Election - Internal Revenue Service

Instructions for Form 2553(Rev. December 2013) Election by a Small Business Corporation Department of the Treasury ... 2013-30.” Also, if the late election is made by attaching Form 2553 to Form 1120S, the corporation (entity) must write in

http://www.irs.gov/pub/irs-pdf/i2553.pdf

Date added: September 27, 2011 - Views: 58

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CT-3911, Taxpayer Statement Regarding State of Connecticut ...

Form CT-3911 Taxpayer Statement Regarding State of Connecticut Tax Refund Department of Revenue Services State of Connecticut (Rev. 12/13) Part I Refund Information

http://www.ct.gov/drs/lib/drs/forms/2013forms/incometax/ct-3911.pdf

Date added: January 15, 2014 - Views: 5

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STATE OF SOUTH CAROLINA SC 3911 DEPARTMENT OF REVENUE

SC 3911 (Rev. 6/98) 3101 STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE ... (SEE INSTRUCTIONS BELOW.) I HAVE NOT RECEIVED CORRESPONDENCE ABOUT THIS RETURN. INDIVIDUAL RETURN ... Complete this form, furnishing all required information.

http://www.sctax.org/NR/rdonlyres/3A70D906-6968-43BC-B37B-374B2F72421D/0/sc3911_698.pdf

Date added: December 9, 2011 - Views: 10

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STATE OF SOUTH CAROLINA SC 3911 REFUND TRACER

DEPARTMENT OF REVENUE SC 3911 (Rev. 7/12/07) REFUND TRACER 3103 ... information about your return, please allow six (6) weeks from the date you responded before filing this form. DESCRIPTION OF CHECK (FOR OFFICE USE ONLY) ... (SEE INSTRUCTIONS BELOW.) IRECEIVEDATAXREFUNDCHECK,BUTITWAS LOST ...

http://www.sctax.org/NR/rdonlyres/15AE5EA2-46F9-4D5D-A7D6-A08CC781906E/0/SC3911.pdf

Date added: December 9, 2011 - Views: 9

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Form CT-1040 For DRS 20 2013 - Connecticut

2013 Form CT-1040 - Page 2 of 4 Your Social Security Number Column C - Connecticut income tax withheld W-2 and 1099 Information Only enter information

http://www.ct.gov/drs/lib/drs/forms/2013forms/incometax/ct-1040.pdf

Date added: January 22, 2014 - Views: 1

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DEPARTMENT OF CLINICAL AND HEALTH PSYCHOLOGY

DEPARTMENT OF CLINICAL AND HEALTH PSYCHOLOGY CLP 3911- INTRODUCTION TO CLINICAL RESEARCH REGISTRATION REQUEST INSTRUCTIONS: Prior to registration, the student should confer with the faculty member with whom he/she wishes to work.

http://www.psych.ufl.edu/~undergrad/forms/clp3911_form.pdf

Date added: May 13, 2013 - Views: 2

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3911

Printed instructions for the Site ... 3911. 65th Annual Los Angeles County Science & Engineering Fair Page 2 All students are required to register online for the Science Fair. ... 068 or ISEF Form * (Not applicable to all students.) January 26-30, 2015

http://www.lacoe.edu/Portals/0/Bulletins/3911.pdf

Date added: August 30, 2014 - Views: 1

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CBP Form 3311 - CBP Forms | U.S. Customs and Border Protection

of returned american products. form approved omb no. 1651-0011 exp. 03-31-2016 . 1. port 2. date. 3. entry no. & date 9. marks, numbers, and description of articles returned. cbp form 3311 (08/11) 4. name of manufacturer. 5. city and state of manufacture 6.

http://forms.cbp.gov/pdf/CBP_Form_3311.pdf

Date added: October 19, 2011 - Views: 118

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INSTRUCTIONS FOR PLACING YOUR ORDER OPTION 1: MAIL Your Order

Complete the New Patient Mail Order Form enclosed. 2. ... 1-602-586-3911) Legally, we can only accept a faxed prescription from your DOCTOR’S OFFICE. Faxes sent from other locations (such as your home or workplace) ... I PERMIT EXPRESS SCRIPTS INC.

https://www.express-scripts.com/TRICARE/homedelivery/docs/dodMailOrderForm.pdf

Date added: October 3, 2012 - Views: 4

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Instructions for Completing the Oklahoma Application for ...

Instructions for Completing the Oklahoma Application for Notary Public Commission Filing Procedure: 1. Print or type information clearly. Illegible applications or applications completed in pencil will be rejected.

http://www.sos.ok.gov/forms/notary/NotaryApplicationInstructions.pdf

Date added: March 19, 2014 - Views: 1

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3911 001 (2)

This form is for use in nominating or requesting determinations of eligibility for individual properties or districts. See instructions in Guidelines for Completing National Register Forms (National Register Bulletin 16).

http://lafayette.in.gov/egov/docs/1337200847_969879.pdf

Date added: August 30, 2014 - Views: 1

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EMERGENCY ACTION GUIDES FOR EMPLOYEES - Department of Commerce

1 EMERGENCY ACTION GUIDES FOR EMPLOYEES For all emergency situations requiring immediate response, call the Security Center (SC) (extension 3911).

http://www.osec.doc.gov/osy/NPCSecurity/osypdffiles0-e/EMERG-ACTION-GUIDE-DEC-02.pdf

Date added: October 3, 2012 - Views: 2

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Troubleshooter’s Guide to Filing the ERISA Annual Report

TTY: (202) 501-3911 This publication constitutes a small entity compliance guide for purposes of the Small Business Regulatory Fairness Act of 1996. ... Refer to specific Form 5500 instructions for complete information on filing requirements (e.g., Who Must File and What To File).

http://www.dol.gov/ebsa/pdf/troubleshootersguide.pdf

Date added: February 8, 2012 - Views: 8

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DA 1058 -R - Army Electronic Publications & Forms ...

DA FORM 1058-R, JUL 2010. DATA REQUIRED BY THE PRIVACY ACT OF 1974. 10 USC 672(d) and USC 275. ... (Read instructions in AR 135-200 before completing this form.) 20. ... 10 USC 1293, 3911, or 3914, ...

http://armypubs.army.mil/eforms/pdf/A1058_R.pdf

Date added: February 11, 2012 - Views: 65

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Medicare Human Services (DHHS) - Home - Centers for Medicare ...

The instructions contained in this chapter are effective for the first cost statement period, ... 3908 (Cont.) FORM CMS 287-05 09-05 2. Allowable capital-related interest expense. Except as provided below, ... 3911 (Cont.) FORM CMS 287-05 09-05 3911.

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1P239.pdf

Date added: September 17, 2012 - Views: 9

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Registration Approval Form BSC 4910 Beginning Mentored ...

Registration Approval Form . BSC 4910 Beginning Mentored Research in Biology & BSC 3911 Entering Research in Biology . OR . BSC 4912 Advanced Mentored Research in Biology . Instructions to Student . 1. ... Instructions to Students for Preparation of Proposal .

http://major.biology.ufl.edu/files/2012/06/Registration-Form-BSC-4910-4912_A.pdf

Date added: February 14, 2014 - Views: 2

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KI-3911 - PPB.1154.0906.R1 (E) - Schlumberger

KI-3911 Corrosion inhibitor is a corrosion inhibitor for water, ... Form @ 20°C (68°F) ... Shipping / Handling Instructions KI-3911 is available in 55 gal (210 l) drums and in bulk.

http://www.slb.com/~/media/Files/miswaco/product_sheets/KI3911PPB11540906R1E.ashx

Date added: May 13, 2013 - Views: 2

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CBP Form 3299 - CBP Forms | U.S. Customs and Border Protection

FORM APPROVED OMB NO. 1651-0014 Exp. 06-30-2016. ... or because of Government orders or instructions evacuating the importer to the ... any comments regarding the burden estimate you can write to U.S. Customs and Border Protection, Office of Regulations and Rulings, 799 9th Street, ...

http://forms.cbp.gov/pdf/CBP_Form_3299.pdf

Date added: October 18, 2011 - Views: 65

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Quick and Easy Access to IRS Tax Help and Tax Products

and may not be filled in and submitted as an official IRS form (e.g., Forms 1099, W-2, and W-3). ... Instr. 1040 40Line Instructions for 11325 Form 1040 Instr. 1040 26General Information for 24811 ... Form 3911(SP) 2Declaración del Contribuyente 31331

http://unclefed.com/IRS-Forms/2004/p2053.pdf

Date added: March 24, 2012 - Views: 3

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Draft Guidance for Industry DSCSA Implementation ...

instructions on the Web page for accessing Form FDA 3911 and to provide information. 3) Form FDA 3911 should be submitted by using the method provided in the form or on the Web page. 19 . Termination of Notifications to FDA .

http://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/SmallBusinessAssistance/UCM404038.pdf

Date added: July 26, 2014 - Views: 1

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MS Mississippi Insurance Company Income Tax Return ...

Form 83-391-12-8-1-000 (Rev. 05/12) Mississippi Insurance Company Income Tax Return ... See instructions for electronic payment options or attach Check or Money Order for balance due. ... (Mississippi Corporations Only) Form 83-391-12-8-4-000 (Rev. 05/12) Mississippi Insurance Company Income Tax ...

http://www.dor.ms.gov/docs/corp_8339112.pdf

Date added: July 16, 2013 - Views: 12

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Denton Central Appraisal District 3911 Morse Street P.O. Box ...

Denton Central Appraisal District 3911 Morse Street P.O. Box 50746 Denton, Texas 76206-0746 HOMESTEAD EXEMPTION APPLICATION RULES Dear Property Owner:

http://www.dentoncad.com/docs/forms/2013/homestead.pdf

Date added: February 14, 2014 - Views: 1

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Translation Request Form - Dallas Independent School District

Translation Request Form Translations Department • 3700 Ross Ave., Box 25 • Dallas, TX 75204 (972) 925-3911 phone • (972) 925-3590 fax • [email protected]

http://www.dallasisd.org/cms/lib/TX01001475/Centricity/Domain/3097/translationreqform.pdf

Date added: April 5, 2012 - Views: 5

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FALL RISK ASSESSMENT - Briggs Healthcare

Form 3911P © 2006 OUTCOMELogics, Inc. 806 Available exclusively from BRIGGS® (800) 247-2343 www.BriggsCorp.com INSTRUCTIONS: If patient is over 65 years old and has any one of the following, the patient is a fall risk. Implement fall prevention program.

https://shop.briggscorp.com/pdf/3911P.pdf

Date added: August 10, 2013 - Views: 54

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NEW INSTRUCTIONS FOR FILING SUPPLEMENT TO PAGE 19OF ANNUAL ...

INSTRUCTIONS FOR FILING SUPPLEMENT TO PAGE 19OF ANNUAL STATEMENT FOR YEAR ENDING DECEMBER 31, ... If your company has any questions please contact Theresa Case at 573-526-3911. ... the form, located on the back of the Supplement. 12) ...

http://insurance.mo.gov/industry/forms/documents/Page19SupplementFilingInstructions.pdf

Date added: March 11, 2013 - Views: 2

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NEW INSTRUCTIONS FOR FILING ANNUAL STATEMENT SUPPLEMENT FOR ...

The Annual Statement Supplement for Missouri form filing, which is due by March 1, 201can now be filed 4, ... A .fpdf fillable form and instructions are available on the internet at ... If your company has any questions please contact Theresa Case at 573-526-3911 . Missouri Department of ...

http://insurance.mo.gov/industry/forms/documents/AnnualStatementSupplementFilingInstructions.pdf

Date added: May 13, 2013 - Views: 4

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Instructions Water Resources Application for Project Permits

dnr.wi.gov Instructions Water Resources Application for Project Permits Form 3500-053 (R 09/12) Page 1 ... 3911 Fish Hatchery Rd. Fitchburg, WI 53711 . Phone: (608) 275- 3266 . SOUTHEAST REGION COUNTIES . Kenosha

http://dnr.wi.gov/topic/stormwater/documents/3500053_WRAPP_instructions.pdf

Date added: September 28, 2012 - Views: 7

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PLEASE FAX COMPLETED FORM & CLINICAL TO - Coastal Harbor

please fax completed form & clinical to: child and adolescent campus ... coastal behavioral health 633 stephenson ave; savannah, ga 31405 912-354-3911 / fax: 912-356-1305 referral source phone patient information name dob ssn address ... special instructions for admissions department .

http://coastalharbor.com/pdf/pre-admission.referral.pdf

Date added: June 12, 2013 - Views: 1

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APPLICATION FOR ACTIVE DUTY FOR TRAINING, ACTIVE DUTY FOR ...

DA FORM 1058-R, JUL 93 DATA REQUIRED BY THE PRIVACY ACT OF 1974 10 USC 672(d) ... PART I - APPLICANT (Read instructions in AR 135-200 before completing this form.) 9. SEX Male Female ... 10 USC 1293, 3911, or 3914, ...

http://www.armymwr.com/UserFiles/file/All_Army_Sports/A1058_R.pdf

Date added: December 25, 2011 - Views: 27

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Quick and Easy Access to IRS Tax Help and Tax Products

Current tax forms, instructions, and publications Prior-year tax forms and instructions Popular tax forms which may be filled-in ... Form SS-8 5Determination of Worker Status16106 for Purposes of Federal Employment Taxes and

http://www.unclefed.com/IRS-Forms/2003/p2053.pdf

Date added: August 12, 2013 - Views: 1

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Form 1

Form 1 . Your appointment for ... Follow these instructions for colonoscopy preparation. Failure to take the prep as indicated below may result in a poorly cleansed colon and possible cancellation of the procedure. ... please call 307-432-3911. How can I prevent irritation?

http://www.imgwy.com/_pdf/forms/2014/August/1.%20MOVI%20Prep%20as%20of%2008-11-14.pdf

Date added: August 30, 2014 - Views: 1

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FAIRFAX COUNTY POLICE DEPARTMENT Citizens Police Academy ...

Application Instructions The Citizen Police Academy is designed to give citizens an overview ... MAIL THE FORM TO: OR E-MAIL THE FORM TO: ... 3911 Woodburn Rd. Annandale, VA 22003 . Fairfax County is committed to nondiscrimination on the basis of disability in all county programs ...

http://www.fairfaxcounty.gov/police/services/pdf/cpaapplicationform.pdf

Date added: October 3, 2012 - Views: 3

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(Read instructions in NGR 37-111 (draff) before completing ...

24. REMARKS . “I understand that, although at the completion of my tour, I may be within 2 years of qualifying for an active duty retirement under 10 USC 1293, 3911, or 3914, it is current Army policy that I will be released from FTNGD at the completion

http://dmna.ny.gov/forms/arng1058.pdf

Date added: February 5, 2012 - Views: 51

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3911 001

one disclosure form. The law requires each agent assisting in the transaction to present you with this disclosure form. A real estate agent is a person qualified to advise about real estate. If you need legal, tax or other advice, consult with a

http://brzostek.com/media/537735/bidpacket_lebeau.pdf

Date added: August 30, 2014 - Views: 1

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Instructions for Completing Pastoral Compensation Forms (5, 6 ...

Instructions for Completing Pastoral Compensation Forms (5, 6, and 7) Other Pastoral Compensation Information: Form 6 - Accountable Reimbursements

https://minnesotaumc.org/assets/uploads/documents/2013_Church_Conference_Forms_5_thru_8b_Clergy_Compensation_Forms_for_2014_with_instructions.pdf

Date added: November 29, 2013 - Views: 1

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Appendix A Canada - CIC

IMM 3911 E (08-2014) Family Class Sponsorship of a spouse, common-law ... Instructions. Sponsorship III - Spouses, ... If you have had this form translated for you, you must provide the following information co ncerning the

http://www.cic.gc.ca/english/pdf/kits/guides/3911e.pdf

Date added: October 2, 2011 - Views: 17

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Domino’s Fire Safety Program

Below are simple instructions on how to implement this program in your town! ... Conklin at 734-930-3911 or . [email protected] Contact your local Domino’s Pizza Contact the manager at your local Domino’s • To find the ... Press Material Request Form . Fire Professional ...

http://www.nfpa.org/~/media/Files/Safety%20information/fire%20prevention%20week/fpw12/2012dominosfiresafetytoolkit.ashx

Date added: August 31, 2013 - Views: 1

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Registration Approval Form AND BSC 4912 Continued Mentored ...

Registration Approval Form BSC 4910 Beginning Mentored Research in Biology (0-3 credits) AND BSC 3911 Entering Research (1 credit) BSC 4912 Continued Mentored Research in Biology (0-4 credits)

http://major.biology.ufl.edu/files/2012/06/BSC4910-4912-Registration-Approval-Form1.pdf

Date added: August 30, 2014 - Views: 1

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FIA- 3200 form - SOM - State of Michigan

DHS-3200 (Rev. 2-12) Previous edition may be used. ... If yes, Log # If no, contact Centralized Intake (855-444-3911) immediately INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, ... Or email this form to [email protected] 1.

http://michigan.gov/documents/FIA3200_11924_7.pdf

Date added: September 21, 2012 - Views: 10

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REPAIR REQUEST FORM - Priority One, Roanoke Texas, medical ...

REPAIR REQUEST FORM 204 N. Front Street Roanoke, Texas 76262 817-430-3911 INSTRUMENT: _____ MODEL #: _____ S/N: _____ _____ SHIP TO:_____ _____ ... SPECIAL INSTRUCTIONS: ...

http://p1repairs.com/files/P1-Repair-Request.pdf

Date added: May 13, 2013 - Views: 2

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OPERATING INSTRUCTIONS AND SERVICE MANUAL PRODUCTION COUNTER ...

operating instructions and service manual production counter model mp-3911 with mp-2002 control effective s.n. 17255 september 13, 2001

http://support.everbrite.com/products/downloads/scoreboards/3000-7000/wiring/3911.pdf

Date added: January 15, 2014 - Views: 1

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Received by NSD/FARA Registration Unit 01/29/2013 4:38:00 PM ...

INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short form registration statement ... 3911 3. Residence Address(es) 405 East 56th Street Apt 10B New York NY 10022 4.

http://www.fara.gov/docs/3911-Short-Form-20130129-82.pdf

Date added: June 1, 2014 - Views: 1

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56438 Federal Register /Vol. 72, No. 191/Wednesday, October 3 ...

Request for Form 3911 AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request for comments. ... copies of the form and instructions should be directed to Robert Black at Internal Revenue Service, room 6129, 1111 Constitution Avenue, NW.,

http://www.gpo.gov/fdsys/pkg/FR-2007-10-03/pdf/E7-19568.pdf

Date added: July 8, 2012 - Views: 3

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u Washington, DC 20530 Pursuant to the Foreign Agents ...

INSTRUCTIONS. Each partner, officer, director, associate, employee, and agent of a registrant is required to file a short form registration statement ... 3911 3. Residence Address(es) 32-23 214 St, Bayside,NY 11361 4. Business Address(es)

http://www.fara.gov/docs/3911-Short-Form-20130129-78.pdf

Date added: May 20, 2014 - Views: 1

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Financial Aid Revision Request - Texas A&M University-Kingsville

Office of Student Financial Aid Mail: MSC 115 Kingsville, Texas 78363 Telephone: (361) 593-3911 FAX: (361) 593-3026 In Person: Memorial Student Union Building 1st Floor Room 106 Financial Aid Revision Request ... OTHER SPECIAL INSTRUCTIONS:

http://www.tamuk.edu/finaid/onlineforms/FA_Revision_request.pdf

Date added: February 9, 2013 - Views: 8

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STATE OF HAWAII DEPARTMENT OF THE ATTORNEY GENERAL LEOSA ...

STATE OF HAWAII DEPARTMENT OF THE ATTORNEY GENERAL ... (Form 1) 2 LEOSA Questionnaire (Form 1A) 3. ... www.starprotectionagency.com or 808-532-3911 for more information on certification dates and locations.

http://ag.hawaii.gov/cjd/files/2013/01/Hawaii-LEOSA-Firearm-Certification-Application-Instructions.pdf

Date added: March 17, 2014 - Views: 1

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APPOINTMENT OF NON-AGENT REPRESENTATION

3911 Morse Street PO Box 2816 Denton, TX 76202-2816 Instructions Fill out the following authorization if you want to have a family member or friend represent at the ... This form must be signed by property owner authorizing the person designated to represent at protest hearing.

http://www.dentoncad.com/docs/forms/arb/nonagentrepresentation.pdf

Date added: October 17, 2013 - Views: 1

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INSTRUCTIONS FOR TIME SHEETS - Critical Options

INSTRUCTIONS FOR TIME SHEETS ... o The fax number for payroll is 1-530-221-3911. PAYROLL INFORMATION ... The Authorization for Direct Deposit form and a voided check must be submitted by mail. Direct Deposit cannot be set up from a faxed copy of the

http://www.criticaloptions.com/pdf/22Instructions_TimeSheet_&_Payroll.pdf

Date added: December 23, 2012 - Views: 6

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State of Oklahoma Investment/New Jobs Credit 506

Enclose with Oklahoma income tax return - Form 511, 511NR, 512, 512-S, 513, 513NR, ... (such as 68 OS Sec. 3601, 3801, 3901 or 3911) or under one of the Quality Investment ... Investment/New Jobs Credit Instructions 68 Oklahoma Statutes (OS) Section 2357.4 and Rule 710:50-15-74 2011 Form ...

http://www.tax.ok.gov/it2011/506-11.pdf

Date added: May 11, 2012 - Views: 5