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 150 602 005 2017-2023

150 602 005 2017-2023

Use a oaa debtor 2017 template to make your document workflow more streamlined.

Representative Phone numbers (include cell, home, and work numbers) Address City State ZIP code I authorize the Department of Revenue to disclose my confidential OAA debt information to my authorized representative. This may include, but is not limited to, disclosure of dates when debt occurred; type of debt; and to whom debt is owed. I authorize my authorized representative to set up a payment plan; manage all payments and settlement offer(s); obtain balance information; and resolve any...
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