Application to Rent Complete the application form. We require an application for each proposed adult (age 18 or older) resident.

Size: px
Start display at page:

Download "Application to Rent Complete the application form. We require an application for each proposed adult (age 18 or older) resident."

Transcription

1 RENTAL APPLICATION CHECKLIST Use this handy list to organize your application papers. Check the box of each item you re submitting. Mail your completed application to P.O. Box 16, Chico, CA or scan and to Application to Rent Complete the application form. We require an application for each proposed adult (age 18 or older) resident. Personal Guarantee/Cosigner Application We require the combined gross monthly income before deductions from all applicants age 18 or older to be three times the amount of the monthly rent. If it s possible you won t meet the income criteria, or have a poor rental history or poor credit scores, you should strongly consider getting a cosigner. Personal Guarantee/Cosigner Agreement Your guarantor/cosigner will fill out this agreement. In the event you fail to pay the rent, this person will be held responsible. Most of the time, the cosigner is a parent or guardian. Identification Submit a copy of your driver s license or California identification card along with your application. Your cosigner, if you have one, will also need to submit a copy of his/her driver s license or state ID card. Proof of Income Include your most recent pay stub when submitting your application. You can additionally submit your most recent bank statement showing account balances, if you d like; you should redact (black out) the account numbers but nothing else. Your cosigner, if you have one, will also need to submit material proving his/her income. Application Fee Agreement Submit this form along with your application fee as we will not process your application without this. If you prefer, you can also submit the fee via PayPal ask us for information on how to do this. However, you must also submit the hard-copy Application Fee Agreement. Your name Address of rental unit for which you re applying

2 APPLICATION TO RENT You must complete all sections of this 2-page document. Mail to P.O. Box 16, Chico, CA 95927, or scan and to Individual application required from each prospective occupant age 18 or older. ADDRESS OF UNIT FOR WHICH YOU RE APPLYING HOW DID YOU HEAR ABOUT THIS RENTAL? EXPECTED MOVE-IN DATE LAST FIRST MIDDLE SOCIAL SECURITY NUMBER DATE OF BIRTH DRIVER S LICENSE NUMBER STATE HOME TELEPHONE NUMBER 1 PRESENT ADDRESS CITY STATE ZIP CODE DATE IN DATE OUT OWNER S / MANR S OWNER S / MANR S TELEPHONE REASON FOR MOVING 2 PREVIOUS ADDRESS CITY STATE ZIP CODE DATE IN DATE OUT OWNER S / MANR S OWNER S / MANR S TELEPHONE REASON FOR MOVING 3 NEXT PREVIOUS ADDRESS CITY STATE ZIP CODE DATE IN DATE OUT OWNER S / MANR S OWNER S / MANR S TELEPHONE REASON FOR MOVING PROPOSED OCCUPANTS LIST ALL S IN ADDITION TO YOURS ARE YOU A SMOKER? YES NO DO YOU HAVE PETS OF ANY KIND? YES NO WILL YOU USE ANY WATER-FILLED FURNITURE IN YOUR RESIDENCE? YES NO HAVE YOU BEEN CONVICTED OF A FELONY? YES NO IF YES, PLEASE GIVE DETAILS HAVE YOU EVER HAD CREDIT PROBLEMS? YES NO HAVE YOU EVER FILED FOR BANKRUPTCY? YES NO IF YES, WHEN? HAVE YOU EVER BEEN THE SUBJECT OF AN EVICTION PROCEEDING? YES NO IF YES, WHEN? PLEASE GIVE DETAILS ON A SEPARATE SHEET. 1 PRESENT OCCUPATION EMPLOYER S DATE STARTED OF YOUR SUPERVISOR EMPLOYER S TELEPHONE NUMBER EMPLOYER S ADDRESS REASON FOR LEAVING PREVIOUS JOB 2 PREVIOUS OCCUPATION EMPLOYER S DATE STARTED DATE ENDED EMPLOYER S TELEPHONE NUMBER REASON FOR LEAVING PREVIOUS JOB OF YOUR SUPERVISOR EMPLOYER S ADDRESS

3 CURRENT GROSS INCOME PER (CIRCLE ONE) WEEK MONTH YEAR ANY APPLICANTS WHOSE INCOME DOES NOT MEET THE MINIMUM REQUIREMENT MUST HAVE A GUARANTOR / COSIGNER. PLEASE LIST ALL OF YOUR FINANCIAL OBLIGATIONS BELOW. OF YOUR FINANCIAL INSTITUTION BRANCH AND ADDRESS APPROXIMATE BALANCES CHECKING SAVINGS OF EMERGENCY CONTACT RELATIONSHIP TELEPHONE NUMBER ADDRESS CITY STATE ZIP CODE By submitting this application, I represent that all the above statements are true and correct, and I hereby authorize their verification including but not limited to the obtaining of a credit report. I agree to furnish additional credit references upon request. I authorize Owner to obtain a credit report now and in the future. In connection with this application, I understand that background inquiries may be conducted on me, including but not limited to consumer, criminal and driving reports. Employment reports may include information as to my character, work habits, performance and experience, along with reasons for termination of past employment. I understand that information may be requested from various federal, state and other agencies and entities, public and private, which maintain records concerning my past activities relating to driving, credit, criminal, civil and other experiences, as well as claims involving me in insurance company files. I authorize, without reservation, any party or agency contacted to furnish completely and without limitation any and all of the abovementioned information and any other related information. In addition, I release from liability and will defend and hold harmless all requesters and suppliers of information in accordance herewith. By signing below, I make application to rent housing accommodations designated for the amount and location as set forth above, and upon approval of this application, I agree to sign a rental or lease agreement and to pay all sums due, including requested deposits before occupancy. In submitting this application, I agree to pay a credit-check fee of 20 through PayPal, or by personal check, and will follow the instructions to do this which I receive via . I agree to make this payment regardless of whether I submit my application by U.S. Mail or electronically, and understand that my application will not be considered without this payment. Signed Date address

4 COSIGNER APPLICATION PERSONAL GUARANTEE OF RENT You must complete all sections of this 2-page document. Mail original to P.O. Box 16, Chico, CA 95927; you may also scan and to THIS FORM MUST BE NOTARIZED. The undersigned (hereinafter known as Guarantor ) for the consideration of the execution of a Rental Agreement and for other valuable consideration, the receipt of which is hereby acknowledged, hereby guarantee(s) that the rental applicant named below (hereinafter known as Resident ) will pay all rent or debts due and will perform all of the terms and conditions of Resident s part to be performed under the Rental Agreement, and upon Resident s failure to do so, Guarantor will perform the same. This Personal Guarantee and attached lease shall be governed by the laws of the State of California. Should litigation become necessary to enforce any of the provisions of said Rental Agreement and attached Cosigner Letter, the prevailing party shall be entitled to their reasonable attorney s fees and court costs from the losing party. Guarantor hereby agrees to submit himself/herself to the jurisdiction of the courts of Butte County, California, for any legal proceedings that may arise under this agreement. RENTAL APPLICANT S RENTAL PROPERTY ADDRESS GUARANTOR S LAST FIRST MIDDLE SOCIAL SECURITY NUMBER DATE OF BIRTH DRIVER S LICENSE NUMBER STATE HOME TELEPHONE NUMBER CURRENT ADDRESS CITY STATE ZIP CODE HOW LONG AT THIS ADDRESS? DO YOU OWN OR RENT? PREVIOUS ADDRESS CITY STATE ZIP CODE CURRENT OCCUPATION OF EMPLOYER S BUSINESS HOW LONG WITH THIS EMPLOYER? EMPLOYER S ADDRESS YOUR SUPERVISOR S YOUR SUPERVISOR S TELEPHONE CURRENT GROSS INCOME PER (CIRCLE ONE) WEEK MONTH YEAR PLEASE LIST ALL OF YOUR FINANCIAL OBLIGATIONS BELOW. OF YOUR FINANCIAL INSTITUTION BRANCH AND ADDRESS APPROXIMATE BALANCES CHECKING SAVINGS OF CREDITOR CREDITOR S ADDRESS CREDITOR S TELEPHONE OF CREDITOR CREDITOR S ADDRESS CREDITOR S TELEPHONE OF CREDITOR CREDITOR S ADDRESS CREDITOR S TELEPHONE MONTHLY PAYMENT AMOUNT MONTHLY PAYMENT AMOUNT MONTHLY PAYMENT AMOUNT Page 1 of 2

5 This is a continuing guarantee, which applies to any renewal, extension, modification, or amendment of aforesaid lease rental agreement, without notice to Guarantor. Guarantor hereby waives each and all of the following: a. Notice of acceptance of this guarantee; b. Notice of any renewal, extension, modification, or amendment of the aforesaid lease rental agreement; c. Notice of Resident s default under the aforesaid lease rental agreement; d. The right, if any, to the benefit of or to direct the application of any security held by Owner; e. The right to require Owner to proceed against the aforesaid Resident or any other party liable, or to pursue any other remedy in its power, and agrees that Owner may proceed against Guarantor directly and independently of any other party liable and that the cessation of the liability of any other party for any reason other than full payment, shall not in any way affect the liability of Guarantor; f. Any defense of the aforesaid Resident or of any other party liable. Execution of Agreement Guarantor represents that all information given on the application is true and correct and hereby authorizes verification of all references and facts, including obtaining Unlawful/Forcible/Special Detainer (Eviction) and credit reports. Guarantor hereby waives any claims and releases from liability any person providing of obtaining said verification or additional information. Guarantor signature: Date: Notarization (for Guarantor signature): STATE OF COUNTY OF In on the day of, 20, before me personally appeared to me known and known by me to be the party executing the foregoing instrument, and acknowledged said instrument, by executed to be free act and deed. My commission expires Page 2 of 2

6 APPLICATION FEE AGREEMENT You must sign this form before we will process your application. Address of property for which you re applying IN CONSIDERATION OF THEIR MUTUAL PROMISES, OWNER AND APPLICANT AGREE AS FOLLOWS: This application fee is non-refundable under any circumstances. We charge this fee upon receipt of your application for reviewing your credit, references and other necessary processing. If the unit for which you re applying is not available, or if we rent it to another party, we will not refund your application fee. I agree to these stipulations and wish to have you process my application immediately. Applicant signature Print name Date Resident application fee 20 per adult (age 18 or older) Cosigner application fee 15 If you prefer to pay this fee via PayPal, please check this box

RESIDENT SELECTION CRITERIA

RESIDENT SELECTION CRITERIA General: RESIDENT SELECTION CRITERIA If the applicant(s) do(es) not meet any of the following selection criteria, or if the applicant(s) provide(s) inaccurate or incomplete information, the application

More information

Petition for Eviction Based on Non-Payment of Rent

Petition for Eviction Based on Non-Payment of Rent Petition for Eviction Based on Non-Payment of Rent Case No. In the Justice Court of Harris County, Texas Plaintiff vs. Precinct, Place Defendant 1. COMPLAINT. Plaintiff files the complaint against the

More information

Georgia Petition for Change of Name

Georgia Petition for Change of Name Georgia Petition for Change of Name [ ] These forms are not intended and are not a substitute for legal advice. These forms should only be a starting point for you and should not be used without consulting

More information

Kingsland Municipal Utility District PO Box 748 Kingsland, Texas Phone (325) Fax (325)

Kingsland Municipal Utility District PO Box 748 Kingsland, Texas Phone (325) Fax (325) Kingsland Municipal Utility District PO Box 748 Kingsland, Texas 78639 Phone (325)388-4559 Fax (325)388-5003 kmud@nctv.com - E-Mail Employment Application Position desired Today s Date Please Print or

More information

APPLICANT CHECKLIST II.

APPLICANT CHECKLIST II. APPLICANT CHECKLIST SECTIONS I. and II. are required with the initial application submission. All questions must be answered, even if the answer is No or N/A. Questions or areas left blank may require

More information

Occupational License Application

Occupational License Application West Virginia Lottery Commission 900 Pennsylvania Avenue, Charleston, WV 25302 Occupational License Application INSTRUCTIONS This form is authorized under Article 22C of the 2007 West Virginia Lottery

More information

OPENING MINOR CONSERVATORSHIPS *Unless otherwise noted, all forms may be obtained at

OPENING MINOR CONSERVATORSHIPS *Unless otherwise noted, all forms may be obtained at OPENING MINOR CONSERVATORSHIPS *Unless otherwise noted, all forms may be obtained at www.sccourts.org/forms 1. OVERVIEW OF MINOR CONSERVATORSHIP A conservator is a person appointed for a minor to conduct

More information

Property Management, Inc. RENTAL APPLICATION Marketing info: How did you hear about the community?

Property Management, Inc. RENTAL APPLICATION Marketing info: How did you hear about the community? EQUAL HOUSING O P P O R T U N I T Y Justus Property Management, Inc. RENTAL APPLICATION Marketing info: How did you hear about the community? Please include an $16.00 fee for each adult household member.

More information

THREE-DAY NOTICE TO QUIT FOR NUISANCE (NRS )

THREE-DAY NOTICE TO QUIT FOR NUISANCE (NRS ) TO: Name of TENANT(s) THREE-DAY NOTICE TO QUIT FOR NUISANCE (NRS 40.2514) FROM: Name of LANDLORD Address DATE OF SERVICE: Telephone Number: PLEASE TAKE NOTICE that you are hereby required to vacate the

More information

INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR ASSISTED HOUSING:

INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR ASSISTED HOUSING: INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR ASSISTED HOUSING: Thank you for your interest in obtaining housing at one of our properties. The following instructions, if followed properly, will ensure

More information

(A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B) WRITE A CHECK TO OFFICE OF LOTTERY AND CHARITABLE GAMES

(A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B) WRITE A CHECK TO OFFICE OF LOTTERY AND CHARITABLE GAMES Bingo Checklist 1. APPLICATION NOTARIZED 2. LICENSE FEE (CHECK/MONEY ORDER) 3. PRIZES SHALL BE OWNED/OR IN LIEU OF OWNERSHIP: (A) PROVIDE A SURETY BOND NOT TO EXCEED 15% ABOVE AGGREGATED PRIZE VALUE (B)

More information

DISPOSITION OF PERSONAL PROPERTY INSTRUCTIONS

DISPOSITION OF PERSONAL PROPERTY INSTRUCTIONS JD Peacock II CLERK OF THE CIRCUIT COURT, OKALOOSA COUNTY, FLORIDA DISPOSITION OF PERSONAL PROPERTY INSTRUCTIONS ***A disposition of personal property is filed for very small estates where there is no

More information

If a response is filed, a hearing will be scheduled. Notification of the hearing date will be mailed to both parties.

If a response is filed, a hearing will be scheduled. Notification of the hearing date will be mailed to both parties. TENANT EVICTION PACKAGE FOR NON-PAYMENT OF RENT ONLY (THIS PACKAGE DOES NOT APPLY TO COMMERCIAL PROPERTY NOR MOBILE HOME PARKS, NOR CLAIMS OF MORE THAN $15,000.00) Form #1 Three Day Notice Complete the

More information

South Carolina Department of Labor, Licensing and Regulation South Carolina Real Estate Commission

South Carolina Department of Labor, Licensing and Regulation South Carolina Real Estate Commission South Carolina Department of Labor, Licensing and Regulation South Carolina Real Estate Commission 110 Centerview Dr. Columbia SC 29210 P.O. Box 11847 Columbia SC 29211-1847 Phone: 803-896-4400 Contact.REC@llr.sc.gov

More information

Checklist for Incorporation of Company

Checklist for Incorporation of Company Checklist for Incorporation of Company Step 1 1. Obtaining Directors Identification Number (DIN) a. Applicant to Obtain DIN if he does not have the DIN. 2. Checklist for Obtaining DIN:- a. Signed copy

More information

STEPHENSON COUNTY POKER RUN LICENSE APPLICATION c/o Stephenson County Clerk 50 West Douglas Street ~ Suite 500 Freeport, IL

STEPHENSON COUNTY POKER RUN LICENSE APPLICATION c/o Stephenson County Clerk 50 West Douglas Street ~ Suite 500 Freeport, IL STEPHENSON COUNTY POKER RUN LICENSE APPLICATION c/o Stephenson County Clerk 50 West Douglas Street ~ Suite 500 Freeport, IL 61032 815-235-8289 POKER RUN LICENSES ARE IN EFFECT FOR 1-YEAR FROM THE DATE

More information

THE REQUIREMENTS FOR ALCOHOLIC BEVERAGE APPLICATION MUST BE A UNITED STATES CITIZEN ANYONE THAT OWNS 20% OR MORE OF THE BUSINESS +THE MANAGER

THE REQUIREMENTS FOR ALCOHOLIC BEVERAGE APPLICATION MUST BE A UNITED STATES CITIZEN ANYONE THAT OWNS 20% OR MORE OF THE BUSINESS +THE MANAGER THE REQUIREMENTS FOR ALCOHOLIC BEVERAGE APPLICATION MUST BE A UNITED STATES CITIZEN ANYONE THAT OWNS 20% OR MORE OF THE BUSINESS +THE MANAGER THE COST: Fingerprint record for each person (Licensee & Manager)

More information

OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained at

OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained at OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained at www.sccourts.org/forms 1. OVERVIEW OF ADULT GUARDIANSHIP A Guardian is a person appointed for an incapacitated adult to

More information

- Page 1 SAMPLE EXAMINATION TYPE: RECIPROCAL SALESPERSON INSTRUCTIONS

- Page 1 SAMPLE EXAMINATION TYPE: RECIPROCAL SALESPERSON INSTRUCTIONS - Page 1 LN, FN MN CITY, XX XXXXX CANDIDATE ID: 000 EXAMINATION DATE: 4/24/2012 INSTRUCTIONS A. Attach an official Certificate of Licensure form (License History NOT A COPY OF YOUR REAL ESTATE LICENSE)

More information

LEASE GUARANTOR APPLICATION AND AUTHORIZATION. Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608

LEASE GUARANTOR APPLICATION AND AUTHORIZATION. Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608 LEASE GUARANTOR APPLICATION AND AUTHORIZATION Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608 Proposed Tenant(s): PLEASE PRINT CLEARLY AND FILL-OUT COMPLETELY.

More information

City of Ames CDBG Renter Affordability Program Deposit and/or First Month s Rent Assistance CHECKLIST FOR APPLICATION SUBMITTAL

City of Ames CDBG Renter Affordability Program Deposit and/or First Month s Rent Assistance CHECKLIST FOR APPLICATION SUBMITTAL City of Ames CDBG Renter Affordability Program Deposit and/or First Month s Rent Assistance The purpose of this program is to assist low income households with up to $1,200.00 towards their rental deposit

More information

EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR CORPORATE BAIL BOND LICENSE INSTRUCTIONS

EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR CORPORATE BAIL BOND LICENSE INSTRUCTIONS EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR CORPORATE BAIL BOND LICENSE INSTRUCTIONS COMPLETED APPLICATIONS MUST BE MAILED OR DELIVERED TO: EL PASO COUNTY SHERIFF S DEPARTMENT COUNTY DETENTION FACILITY

More information

Adult Individual and/or Family Membership

Adult Individual and/or Family Membership Adult Individual and/or Family Membership Sull ivan Farms Recreational Shooting Area / Prentiss County Sportsman's Club Individual Membership If you are an individual, please complete the following forms

More information

Application for Residence Permit for the Purpose of Study

Application for Residence Permit for the Purpose of Study Application for Residence Permit for the Purpose of Study _ _ _ _ _ _ _ _ _ _ Number: Authority receiving the application: File Residence issued for the first time Place of Entry: Photo Date of Entry:...

More information

D Statement of Responsibility. D l Original plus 4 copies of Complaint. D $7 for clerk to prepare Writ

D Statement of Responsibility. D l Original plus 4 copies of Complaint. D $7 for clerk to prepare Writ Eviction Checklist ATTENTION: ALL PROPERTY MANAGERS- The Court now requires that you submit written authorization from your clients for each new eviction filed. I. TO FILE A COMPLAINT FOR EVICTION FORM:

More information

IMPORTANT INFORMATION READ CAREFULLY

IMPORTANT INFORMATION READ CAREFULLY IMPORTANT INFORMATION READ CAREFULLY Civil Service Commission Amy Lay, Civil Service Director City of Denison P.O. BOX 347 Denison, TX 75021 DATE POSTED: January 16, 2018 in the Main Lobby, more than 10

More information

EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR INDIVIDUAL BAIL BOND LICENSE INSTRUCTIONS

EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR INDIVIDUAL BAIL BOND LICENSE INSTRUCTIONS EL PASO COUNTY BAIL BOND BOARD APPLICATION FOR INDIVIDUAL BAIL BOND LICENSE INSTRUCTIONS COMPLETED APPLICATIONS MUST BE MAILED OR DELIVERED TO: EL PASO COUNTY SHERIFF S DEPARTMENT COUNTY DETENTION FACILITY

More information

CITY OF STERLING HEIGHTS BODY ART FACILITY LICENSE. Full Name Age Date of Birth

CITY OF STERLING HEIGHTS BODY ART FACILITY LICENSE. Full Name Age Date of Birth CITY OF STERLING HEIGHTS BODY ART FACILITY LICENSE SUBMIT TO: CITY CLERK CITY OF STERLING HEIGHTS 40555 UTICA ROAD P.O. BOX 8009 STERLING HEIGHTS, MI 48311-8009 Applicant Information: Full Name Age Date

More information

REGISTRATION SERVICE PROGRAM HANDBOOK

REGISTRATION SERVICE PROGRAM HANDBOOK STATE OF CALIFORNIA DEPARTMENT OF MOTOR VEHICLES A Public Service Agency REGISTRATION SERVICE PROGRAM HANDBOOK OL 306 (REV. 6/2012) WWW PURPOSE APPLICATION REQUIREMENTS FOR REGISTRATION SERVICE LICENSE

More information

Credit Application and Agreement (Please Type or Print)

Credit Application and Agreement (Please Type or Print) Credit Application and Agreement (Please Type or Print) Contractor Section I APPLICANT LEGAL NAMES(S) OF INDIVIDUAL(S) FIRM CORP HEREINAFTER REFERRED TO AS APPLICANT PHONE NO. FAX NO. STREET ADDRESS CITY

More information

State of Michigan Combined Offer of Employment and Work Permit/Age Certificate CA-7 for minors 16 and 17 years of age

State of Michigan Combined Offer of Employment and Work Permit/Age Certificate CA-7 for minors 16 and 17 years of age State of Michigan Combined Offer of Employment and Work Permit/Age Certificate CA-7 for minors 16 and 17 years of age Permit Number for School Use (optional) Employer Information: - The employer must have

More information

(GENERAL) FORMS AND INSTRUCTIONS

(GENERAL) FORMS AND INSTRUCTIONS POWER OF ATTORNEY (GENERAL) FORMS AND INSTRUCTIONS Superior Court of Arizona in Maricopa County GNPOA1-5330 - 103113 SELF-SERVICE CENTER POWER OF ATTORNEY FORMS CHECKLIST A Power of Attorney is a legal

More information

Guarantor additionally represents and warrants to Obligee as

Guarantor additionally represents and warrants to Obligee as GUARANTY THIS GUARANTY ( Guaranty ) is made as of the day of, 20, by, a corporation /limited liability company (strike whichever is inapplicable) formed under the laws of the State of and having a principal

More information

APPLICATION FOR CERTIFICATION AS A WELL DRILLER

APPLICATION FOR CERTIFICATION AS A WELL DRILLER South Carolina Department of Labor, Licensing and Regulation South Carolina Environmental Certification Board P.O. Box 11409 Columbia, SC 29211 Phone: 803-896-4430 Fax: 803-896-9651 www.llr.state.sc.us/pol/environmental/

More information

****THE SHERIFF S OFFICE MUST BE PAID BY CHECK OR MONEY ORDER. CASH IS NOT ACCEPTED.****

****THE SHERIFF S OFFICE MUST BE PAID BY CHECK OR MONEY ORDER. CASH IS NOT ACCEPTED.**** EVICTION CHECK LIST COMPLAINT - Fully Completed WRITTEN NOTICE WRITTEN LEASE (if one exists) NON-MILITARY AFFIDAVIT CONSENT TO CASE CLOSURE AFTER 90 DAYS OF INACTIVITY FILING FEE - CHECK OR MONEY PLUS

More information

Yurok Tribe Planning and Community Development Klamath, California. Yurok Justice Center Bid Documents EXHIBIT B: BID FORM

Yurok Tribe Planning and Community Development Klamath, California. Yurok Justice Center Bid Documents EXHIBIT B: BID FORM Yurok Tribe Planning and Community Development Klamath, California Yurok Justice Center Bid Documents THE PROJECT AND THE PARTIES 1.1 TO: A. Owner: Yurok Indian Tribe EXHIBIT B: BID FORM 1.2 SUBMITTED

More information

Official Form 410 Proof of Claim 04/16

Official Form 410 Proof of Claim 04/16 Case 18-61376-6-dd Claim 21-1 Filed 10/31/18 Desc Main Document Page 1 of 3 Fill in this information to identify the case: Debtor 1 Herb Philipson's Army and Navy Stores Inc. Debtor 2 (Spouse, if filing)

More information

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER WAGE GARNISHMENT. Self Help Center Loca ons:

SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER  WAGE GARNISHMENT. Self Help Center Loca ons: SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org/self-help WAGE GARNISHMENT All documents must be typed or printed neatly. Please use black ink. Self Help Center Loca ons:

More information

WEST MEMPHIS PLANNING COMMISSION APPLICATION CHECK LIST. I. Petition for Rezone and Special Permit Use should include one or more of the following:

WEST MEMPHIS PLANNING COMMISSION APPLICATION CHECK LIST. I. Petition for Rezone and Special Permit Use should include one or more of the following: WEST MEMPHIS PLANNING COMMISSION APPLICATION CHECK LIST I. Petition for Rezone and Special Permit Use should include one or more of the following: 1. Petition for Comprehensive Plan change and public notice

More information

Complete one Personal History Form.

Complete one Personal History Form. Two Original Applications Personal History Form Lease or Valid Document Photographs Corporate Papers Letters of Reference Financial Investments Please write legibly in BLACK ink or type information. Answer

More information

Personal History Form

Personal History Form Privacy Notice: All information submitted during the application process will be managed in accordance with ARC s Privacy Policy. For more information, please visit https://www2.arccorp.com/site-privacy-policy/.

More information

EVICTION IMPORTANT NOTICE:

EVICTION IMPORTANT NOTICE: B. WAYNE HAYES JUSTICE OF THE PEACE PRECINCT ONE EVICTION EVICTION CASE: An eviction case is a lawsuit brought to recover possession of real property, often by a landlord against a tenant. A claim for

More information

ADULT GUARDIANSHIP QUESTIONNAIRE

ADULT GUARDIANSHIP QUESTIONNAIRE CATHERINE E. DAVEY, J.D., LL.M. Post Office Box 941251 Maitland, Florida 32794-1251 Telephone (407) 645-4833 Facsimile (407) 645-4832 ADULT GUARDIANSHIP QUESTIONNAIRE A. INFORMATION ABOUT THE ALLEGED INCAPACITATED

More information

CITY OF MESQUITE BUSINESS LICENSE DIVISION

CITY OF MESQUITE BUSINESS LICENSE DIVISION CITY OF MESQUITE BUSINESS LICENSE DIVISION PRIVILEGED LICENSE BACKGROUND INVESTIGATION APPLICATION CHECKLIST Return this application to the Mesquite Business License Office 10 East Mesquite Blvd., Mesquite

More information

3501 West State Street, Boise Idaho 83703

3501 West State Street, Boise Idaho 83703 APPLICATIONS MAY BE HELD FOR UP TO 3 MONTHS. APPLICANTS ARE ENCOURAGED TO REAPPLY. APPLICANT INFORMATION PAGE 1. First Name: SSN: Phone number: Last Name: Date of Birth: Cell Phone: Drivers License No:

More information

EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA PROOF OF CLAIM AND RELEASE

EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA PROOF OF CLAIM AND RELEASE EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA IN RE YONGYE INTERNATIONAL, INC. SHAREHOLDER LITIGATION Consolidated Case No. A-12-670468-B DEPT. NO.: XI Consolidated with: A-12-670758-B A-12-670874-B

More information

Subcontractor's Application for Payment (K201)

Subcontractor's Application for Payment (K201) Notarized Original Accepted Only Bill Retention Separate Upon Completion Contract Schedule of Values (K202) Must Accompany App. Change Order Summary (K203) Must Accompany App. Subcontractor's Application

More information

APPLICATION FOR ADULT ENTERTAINMENT LICENSE/YEARLY RENEWAL

APPLICATION FOR ADULT ENTERTAINMENT LICENSE/YEARLY RENEWAL APPLICATION FOR ADULT ENTERTAINMENT LICENSE/YEARLY RENEWAL City of Winter Park, Building Department 401 S. Park Ave., Winter Park, FL 32789 407-599-3237 Fees: Adult Entertainment Application Fee (non-refundable):

More information

APPLICATION FOR MOBILE FOOD VENDOR

APPLICATION FOR MOBILE FOOD VENDOR City Recorder, Sherri Phillips 406 W. Broadway Avenue Maryville, TN 37801 (865) 273-3452 APPLICATION FOR MOBILE FOOD VENDOR 1. APPLICANT INFORMATION (Owner(s) of the Business) Original Application Renewal

More information

APPLICATION FOR COURT-APPOINTED ATTORNEY

APPLICATION FOR COURT-APPOINTED ATTORNEY APPLICATION FOR COURT-APPOINTED ATTORNEY This section to be filled out by Court Personnel CAUSE # The State of Texas vs. JP #: Bond: In the Brazoria County, Texas Offense Level of Offense Court All information

More information

APPLICATION FOR REGISTERING A COMMERCIAL BUSINESS

APPLICATION FOR REGISTERING A COMMERCIAL BUSINESS APPLICATION FOR REGISTERING A COMMERCIAL BUSINESS Please fill out the attached Commercial Business Registration Application and attach copies of all required documents including a lease agreement or deed.

More information

Note to Internet User: If you are acting as your own attorney (that is, if you are Pro Se ), scroll down to find blank forms you may use.

Note to Internet User: If you are acting as your own attorney (that is, if you are Pro Se ), scroll down to find blank forms you may use. Note to Internet User: If you are acting as your own attorney (that is, if you are Pro Se ), scroll down to find blank forms you may use. The following forms are available below: 1. Motion form (and an

More information

CLERK OF THE COURT SUPERIOR COURT OF ARIZONA

CLERK OF THE COURT SUPERIOR COURT OF ARIZONA CLERK OF THE COURT SUPERIOR COURT OF ARIZONA MOHAVE COUNTY 401 East Spring Street PO Box 7000 Kingman, Arizona 86401 PRIVATE PROCESS SERVER APPLICATION Any willful omission or misrepresentation of any

More information

STATE OF MISSISSIPPI Department of Banking and Consumer Finance Post Office Box Jackson, Mississippi

STATE OF MISSISSIPPI Department of Banking and Consumer Finance Post Office Box Jackson, Mississippi FOR DEPARTMENT USE ONLY LICENSE NUMBER LICENSE EXPIRES TP STATE OF MISSISSIPPI Department of Banking and Consumer Finance Post Office Box 12129 Jackson, Mississippi 39236-2129 Title Pledge License Application

More information

rbk Doc#81-1 Filed 09/14/17 Entered 09/14/17 14:55:48 Exhibit A Pg 1 of 8 EXHIBIT A

rbk Doc#81-1 Filed 09/14/17 Entered 09/14/17 14:55:48 Exhibit A Pg 1 of 8 EXHIBIT A 17-51926-rbk Doc#81-1 Filed 09/14/17 Entered 09/14/17 14:55:48 Exhibit A Pg 1 of 8 EXHIBIT A 17-51926-rbk 17-51926-rbk Doc#81-1 Claim#1-1 Filed 09/14/17 Filed 09/11/17 Entered 09/14/17 Main Document 14:55:48

More information

The management team at Kensington Village Apartments looks forward to your residency. In order to move in we will require:

The management team at Kensington Village Apartments looks forward to your residency. In order to move in we will require: Dear Prospective Resident, The management team at Kensington Village Apartments looks forward to your residency. In order to move in we will require: 1. A completed application from each applicant 18 years

More information

ROUGH ROCK COMMUNITY SCHOOL, INC. HC 61 Box 5050 PTT Rough Rock, Arizona Phone: (928)

ROUGH ROCK COMMUNITY SCHOOL, INC. HC 61 Box 5050 PTT Rough Rock, Arizona Phone: (928) ROUGH ROCK COMMUNITY SCHOOL, INC. HC 61 Box 5050 PTT Rough Rock, Arizona 86503 Phone: (928) 728 3700 CLASSIFIED EMPLOYMENT APPLICATION Date: Please complete entire application in full. Do not use refer

More information

GENERAL INSTRUCTIONS FOR SMALL CLAIMS

GENERAL INSTRUCTIONS FOR SMALL CLAIMS GENERAL INSTRUCTIONS FOR SMALL CLAIMS Our forms are designed to address the most common claims, but are not specifically designed for a specific case. Neither the Judge nor our staff is allowed to give

More information

1 of 1 DOCUMENT. Collier Consumer Bankruptcy Forms. Copyright 2009, Matthew Bender & Company, Inc., a member of the LexisNexis Group.

1 of 1 DOCUMENT. Collier Consumer Bankruptcy Forms. Copyright 2009, Matthew Bender & Company, Inc., a member of the LexisNexis Group. Page 1 1 of 1 DOCUMENT Collier Consumer Bankruptcy Forms Copyright 2009, Matthew Bender & Company, Inc., a member of the LexisNexis Group. Part CS6 Modifying, Maintaining and Enforcing the Automatic Stay

More information

STUDENT PERMIT APPLICATION INSTRUCTIONS

STUDENT PERMIT APPLICATION INSTRUCTIONS South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Barber Examiners 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone: 803-896-4588 BoardInfo@llr.sc.gov

More information

2018/2019 Orange County Grand Jury Application Superior Court of California, County of Orange

2018/2019 Orange County Grand Jury Application Superior Court of California, County of Orange 2018/2019 Orange County Grand Jury Application Superior Court of California, County of Orange Please type or print legibly in black ink. This application form and more information are available online

More information

AUTHORIZATION FOR TREATMENT Please fax to Scan/ to

AUTHORIZATION FOR TREATMENT Please fax to Scan/ to AUTHORIZATION FOR TREATMENT Please fax to 337-310-1678 Scan/email to authorization@businesshealthpartners.com Date: Name of Company: Representative Approving Treatment: Email: Jobsite Contact & Phone #

More information

EXAM APPLICATION FOR REAL ESTATE

EXAM APPLICATION FOR REAL ESTATE South Carolina Department of Labor, Licensing and Regulation South Carolina Real Estate Commission 110 Centerview Dr. Columbia SC 29210 P.O. Box 11847 Columbia SC 29211-1847 Phone: 803-896-4400 Contact.REC@llr.sc.gov

More information

ARKANSAS AUCTIONEERS LICENSING BOARD alb-0200

ARKANSAS AUCTIONEERS LICENSING BOARD alb-0200 ARKANSAS AUCTIONEERS LICENSING BOARD alb-0200 FOR BOARD USE ONLY: Exam(s) Completed: Yes No Designated Person Date Grade 1. 2. 3. 4. 101 E. Capitol, Suite 112B Little Rock, Arkansas 72201 (501) 682-1156

More information

PROOF OF CLAIM AND RELEASE FORM

PROOF OF CLAIM AND RELEASE FORM A. GENERAL INSTRUCTIONS & INFORMATION PROOF OF CLAIM AND RELEASE FORM 1. You are urged to read carefully the accompanying Notice of Pendency and Proposed Settlement of Class Action and Final Approval Hearing

More information

FIVE-DAY NOTICE TO QUIT FOR TENANCY-AT-WILL (NRS )

FIVE-DAY NOTICE TO QUIT FOR TENANCY-AT-WILL (NRS ) FIVE-DAY NOTICE TO QUIT FOR TENANCY-AT-WILL (NRS 40.251) TO: Name of TENANT(s) FROM: Name of LANDLORD Address DATE OF SERVICE: Telephone Number: PLEASE TAKE NOTICE that your tenancy-at-will is hereby terminated,

More information

CPA LICENSURE APPLICATION BY RECIPROCITY ELECTRONIC APPLICATION FORMS AND INSTRUCTIONS

CPA LICENSURE APPLICATION BY RECIPROCITY ELECTRONIC APPLICATION FORMS AND INSTRUCTIONS South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Accountancy 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone: 803-896-4770 Contact.Accountancy@llr.sc.gov

More information

EXHIBIT 1 BILOXI MUNICIPAL COURT PROCEDURES FOR LEGAL FINANCIAL OBLIGATIONS AND COMMUNITY SERVICE

EXHIBIT 1 BILOXI MUNICIPAL COURT PROCEDURES FOR LEGAL FINANCIAL OBLIGATIONS AND COMMUNITY SERVICE No person shall be imprisoned solely because she/he lacks the resources to pay a fine, state assessment, fee, court cost, or restitution (collectively, legal financial obligation or LFO ), or because she/he

More information

GARDENA POLICE DEPARTMENT

GARDENA POLICE DEPARTMENT For Department Use Only ID#: Employer: Date: ( ) New Hire ( ) Renewal GARDENA POLICE DEPARTMENT GAMING AND CASINO WORK PERMIT APPLICATION GPD/PJR (Revised 03-06) Page 1 of 12 GARDENA POLICE DEPARTMENT

More information

Michael Gayoso, Jr. Office of the County Attorney TH

Michael Gayoso, Jr. Office of the County Attorney TH Michael Gayoso, Jr. Office of the County Attorney TH 11 Judicial District/Crawford County, Kansas DRUG DIVERSION PROGRAM Pursuant to K.S.A. 22-2906 et seq. the Crawford County Attorney of the Eleventh

More information

APPLICATION FOR LMSW LICENSURE

APPLICATION FOR LMSW LICENSURE APPLICATION FOR LMSW LICENSURE Please type or print all information. Incomplete applications will be returned. When space provided is insufficient, attach additional sheets, with your name and Social Security

More information

APPENDIX: INDIVIDUAL APPLICATION CORYELL COUNTY BAIL BOND BOARD GATESVILLE, TEXAS Approved as of September 15, 2005

APPENDIX: INDIVIDUAL APPLICATION CORYELL COUNTY BAIL BOND BOARD GATESVILLE, TEXAS Approved as of September 15, 2005 APPENDIX: INDIVIDUAL APPLICATION CORYELL COUNTY BAIL BOND BOARD GATESVILLE, TEXAS Approved as of September 15, 2005 IN ACCORDANCE with the requirements of Section 1704 Texas Occupation code, as, Amended,

More information

Cost Per Lead Program Agreement

Cost Per Lead Program Agreement Cost Per Lead Program Agreement Complete & email or fax the form below: Fax: 863-248-4393 Email: patriotinsurancegroup@gmail.com. Once the form is received, you will receive an email with an additional

More information

Financial Information

Financial Information Financial Information This form is used to provide financial information to establish credit with Pepco. Please send the completed executed form along with your remaining registration documents to: Company

More information

DISPOSITION OF PERSONAL PROPERTY WITHOUT ADMINISTRATION Disposition without Administration

DISPOSITION OF PERSONAL PROPERTY WITHOUT ADMINISTRATION Disposition without Administration DISPOSITION OF PERSONAL PROPERTY WITHOUT ADMINISTRATION 735.301 Disposition without Administration No Administration shall be required or formal proceedings instituted upon the estate of the decedent leaving

More information

EVERY QUESTION MUST BE ANSWERED OR THE APPLICATION WILL BE RETURNED TO YOU!

EVERY QUESTION MUST BE ANSWERED OR THE APPLICATION WILL BE RETURNED TO YOU! APPLICATION FOR LICENSE FOR REAL ESTATE SALESPERSON NORTH DAKOTA REAL ESTATE COMMISSION P.O. BOX 727 BISMARCK, NORTH DAKOTA 58502-0727 SFN 12163 (03/15) FOR OFFICIAL USE ONLY FBI Report Received Date Granted

More information

Student ID. Address. New Jersey Institute of Technology Office of the Registrar Application for New Jersey Resident Status

Student ID.  Address. New Jersey Institute of Technology Office of the Registrar Application for New Jersey Resident Status New Jersey Institute of Technology Office of the Registrar Application for New Jersey Resident Status The purpose of this form is to provide sufficient information to make a determination regarding your

More information

GENERAL LICENSE APPLICATION CITY OF FREEPORT, ILLINOIS

GENERAL LICENSE APPLICATION CITY OF FREEPORT, ILLINOIS GENERAL LICENSE APPLICATION CITY OF FREEPORT, ILLINOIS The undersigned hereby applies for a license, under Part Eight, Business Regulation and Taxation Code of the Codified Ordinances of Freeport, Illinois,

More information

OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained on our website at

OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained on our website at OPENING ADULT GUARDIANSHIPS *Unless otherwise noted, all forms may be obtained on our website at www.rcgov.us 1. OVERVIEW OF ADULT GUARDIANSHIP A Guardian is a person appointed for an incapacitated adult

More information

APPLICATION FOR CERTIFICATION AS A BIOLOGICAL WASTEWATER TREATMENT OPERATOR

APPLICATION FOR CERTIFICATION AS A BIOLOGICAL WASTEWATER TREATMENT OPERATOR South Carolina Department of Labor, Licensing and Regulation South Carolina Environmental Certification Board P.O. Box 11409 Columbia, SC 29211 Phone: 803-896-4430 Fax: 803-896-4424 www.llr.state.sc.us/pol/environmental/

More information

AVA R-I SCHOOL DISTRICT P. O. Box 338 Ava, MO (417)

AVA R-I SCHOOL DISTRICT P. O. Box 338 Ava, MO (417) AVA R-I SCHOOL DISTRICT P. O. Box 338 Ava, MO 65608 (417) 683-4717 APPLICATION FOR AN ADMINSTRATIVE POSITION The School District considers applicants for all positions without regard to race, color, religion,

More information

PRE-APPLICATION FOR HOUSING

PRE-APPLICATION FOR HOUSING PRE-APPLICATION FOR HOUSING Royal Gardenes C/O Rental Office Concord, NH 03301 Phone: (603) 224-9732 FOR OFFICE USE ONLY / Time Application Received: / / : AM / PM Received by (Initials): PLEASE NOTE ANY

More information

1752(2) Domicile: (Street/Number) (City, Village/Town) (State) (Zip Code)

1752(2) Domicile: (Street/Number) (City, Village/Town) (State) (Zip Code) SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF ----------------------------------------x In the Matter of the Guardianship of PETITION FOR APPOINTMENT OF GUARDIAN (SCPA ARTICLE 17-A) Pursuant to

More information

Louisiana Department of Public Safety and Corrections Office of State Police. Louisiana Concealed Handgun Permit Application Packet

Louisiana Department of Public Safety and Corrections Office of State Police. Louisiana Concealed Handgun Permit Application Packet Louisiana Department of Public Safety and Corrections Office of State Police Louisiana Concealed Handgun Permit Application Packet Submit applications to: Concealed Handgun Permit Unit, P.O. Box 66375,

More information

2020 $ per cemetery Reinstatement 4020 $ per cemetery

2020 $ per cemetery Reinstatement 4020 $ per cemetery Commonwealth of Virginia Department of Professional and Occupational Regulation PO Box 29570 Richmond, Virginia 232420570 (804) 3670010 www.dpor.virginia.gov Cemetery Board CEMETERY COMPANY RENEWAL/REINSTATEMENT

More information

IN THE THIRD JUDICIAL DISTRICT COURT, STATE OF UTAH COUNTY OF TOOELE, TOOELE DEPARTMENT

IN THE THIRD JUDICIAL DISTRICT COURT, STATE OF UTAH COUNTY OF TOOELE, TOOELE DEPARTMENT Name Address City, State ZIP Telephone Plaintiff IN THE THIRD JUDICIAL DISTRICT COURT, STATE OF UTAH COUNTY OF TOOELE, TOOELE DEPARTMENT, vs. Plaintiff,, Case No.: Judge: Defendant(s). COMES NOW Plaintiff

More information

NEW CASTLE COUNTY.

NEW CASTLE COUNTY. COURT OF COMMON PLEAS for the State Of Delaware CHANGE OF NAME PETITIONS NEW CASTLE COUNTY http://courts.state.de.us/commonpleas/ THE COURT OF COMMON PLEAS FOR THE STATE OF DELAWARE INSTRUCTIONS FOR CHANGE

More information

EMPLOYEE PAYROLL ENROLLMENT AND UPDATE FORM

EMPLOYEE PAYROLL ENROLLMENT AND UPDATE FORM EMPLOYEE PAYROLL ENROLLMENT AND UPDATE FORM Employer Date Submitted: First Name M.I. Last Name Address City State Zip County SSN DOB E-Mail Hire Date: Termination Date: Change Date: Auth. Signature Marital

More information

Fresh Friday Sale Every Friday at 10:45am

Fresh Friday Sale Every Friday at 10:45am 1 Fresh Friday Sale Every Friday at 10:45am REPO SALE 10:45AM DEALER AUCTION EVERY FRIDAY 11am REGISTRATION 9am-10:45am SMALL AUCTION FEES...BIG AUCTION DEALS CALL 740-281-3631 to reserve numbers for this

More information

Comanche Nation Housing Authority Service with Pride

Comanche Nation Housing Authority Service with Pride Comanche Nation Housing Authority Service with Pride 402 S.E. F Ave, Lawton, Oklahoma 73502 Telephone 580.357.4956 Fax 580.280.4714 APPLICATION INSTRUCTIONS FOR THE TRANSITIONAL HOUSING PROGRAM TO QUALIFY

More information

Instructor Information for Endorsement

Instructor Information for Endorsement SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION SOUTH CAROLINA BOARD OF COSMETOLOGY POST OFFICE BOX 11329 COLUMBIA, SOUTH CAROLINA 29211-1329 (803) 896-4588 Email: BoardInfo@llr.sc.gov Instructor

More information

APPLICATION FOR SECOND HAND DEALER LICENSE

APPLICATION FOR SECOND HAND DEALER LICENSE Office of the City Clerk 255 Main Street, White Plains, NY 10601 (914) 422-1227 APPLICATION FOR SECOND HAND DEALER LICENSE In order to file you will need: This completed application with notarized signature

More information

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA. Case Number:

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA. Case Number: IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case Number: IN RE: THE GUARDIANSHIP OF (Name of Ward) APPLICATION FOR APPOINTMENT AS GUARDIAN / GUARDIAN ADVOCATE The undersigned

More information

Sole Proprietor Partnership Corporation State of Incorporation: Date Business Commenced Federal ID# CA State Resale # Yes No. Bank Address Phone Fax

Sole Proprietor Partnership Corporation State of Incorporation: Date Business Commenced Federal ID# CA State Resale # Yes No. Bank Address Phone Fax I/We herein make application for credit and/or update and reconfirm our existing account and balance. Applicants give their permission to United Pacific Energy, or its agent, to verify the information

More information

POWER OF ATTORNEY (GENERAL) FORMS AND INSTRUCTIONS

POWER OF ATTORNEY (GENERAL) FORMS AND INSTRUCTIONS POWER OF ATTORNEY (GENERAL) FORMS AND INSTRUCTIONS Superior Court of Arizona in Maricopa County GNPOA1-5330 - 032618 Law Library Resource Center POWER OF ATTORNEY FORMS CHECKLIST A Power of Attorney is

More information

Page 2. Name Street Address Telephone Occupation. 1. Contractor. 2. Contractor. 3. Supplier. 4. Customer. 5. Customer

Page 2. Name Street Address Telephone Occupation. 1. Contractor. 2. Contractor. 3. Supplier. 4. Customer. 5. Customer NOTICE TO ALL APPLICANTS FOR CONTRACTOR'S OCCUPATIONAL REGISTRATION Attached is an application packet for a contractor's occupational registration. The following information is required: Completed Application

More information

INSTRUCTIONS FOR FILING A GARNISHMENT OF PERSONAL EARNINGS OF JUDGMENT DEBTOR (Ohio Rev. Code Chapter 2716 et seq.) (REVISED 2/3/2015)

INSTRUCTIONS FOR FILING A GARNISHMENT OF PERSONAL EARNINGS OF JUDGMENT DEBTOR (Ohio Rev. Code Chapter 2716 et seq.) (REVISED 2/3/2015) Tom Orlando, Clerk of Court Lorain County Justice Center, Room 105 Elyria, OH 44035 PH: (440 329-5536 INSTRUCTIONS FOR FILING A GARNISHMENT OF PERSONAL EARNINGS OF JUDGMENT DEBTOR (Ohio Rev. Code Chapter

More information

NOTE: ALL FEES ARE NON-REFUNDABLE

NOTE: ALL FEES ARE NON-REFUNDABLE Louisiana Department of Public Safety and Corrections Office of State Police Louisiana Concealed Handgun Permit Application Packet Submit applications to: Concealed Handgun Permit Unit, P.O. Box 66375,

More information

APPLICATION FOR INITIAL LICENSE

APPLICATION FOR INITIAL LICENSE South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Examiners in Speech-Language Pathology and Audiology P.O. Box 11329 Columbia, SC 29211 Phone: 803-896-4655 Fax: 803-896-4719

More information

Background Check Determination Letter Procedure

Background Check Determination Letter Procedure Background Check Determination Letter Procedure To receive a determination letter it will require THREE STEPS: 1. The First Step is to register with Gemalto/Cogent at https://pci.aps.gemalto.com/gaperlpub/landing_page_1.pl

More information