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 150 602 005 2013

150 602 005 2013

Use a 150 602 005 2013 template to make your document workflow more streamlined.

Code You must complete sections 1, 2, and 3 and check all boxes that apply. Section 1 Information authorization: I allow my confidential OAA debt information to be disclosed to my designee. Payment authorization: I authorize my designee to set up a payment plan, manage all payments and settlement offer(s), and resolve issues with the settlement of my debt. I understand if payment obligations aren’t met, I will be subject to further collection activity. Section 2 Note: From this date forward,...
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