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Mold remediation completion fo... CERTIFICATE OF MOLD DAMAGE REMEDIATION Certificate Number Name Mailing Address City Property Description: Number Addition or Tract Street City Lot County Block State Zip Date of Issuance Mold Assessment

62a013 12 09 application for a... 62A013 (12-09) Commonwealth of Kentucky DEPARTMENT OF REVENUE Of?ce of Property Valuation NOTE: This form must be ?led with the proper administering agency of the county in which property is located

Gsa 3518 form If this solicitation is for supplies and has been set aside in whole or in part for small business concerns then the clause in this solicitation providing notice of the set-aside contains restrictions on the source of the end items to be furnished. INITIALS LESSOR GOVERNMENT GSA FORM 3518 PAGE 1 REV 12/99 Under 15 U.S.C. REPRESENTATIONS AND CERTIFICATIONS Acquisition of Leasehold Interests in Real Property Solicitation Number Dated Complete appropriate boxes sign the form and attach to offer. The Offeror makes the following Representations and Certifications. NOTE The Offeror as used on this form is the owner of the property offered not an individual or agent representing the owner. 52. 219-1 - SMALL BUSINESS PROGRAM REPRESENTATIONS NOV 1999 a b The standard industrial classification SIC code for this acquisition is 6515. The small business size standard applicable to this acquisition is average annual gross revenues of 15 million or less for the preceding three fiscal years. construction or service contract but which proposes to furnish a product which it did not itself manufacture is 500 employees. Representations. The Offeror represents as part of its offer that it is is not a small business concern* Complete only if offeror represented itself as a small business concern in paragraph b 1 of this provision* The Offeror represents for general statistical purposes that it is is not a small disadvantaged business concern as defined in 13 CFR 124. 1002. i is is not a HUBZone small business concern listed on the date of this representation on the List of Qualified HUBZone Small Business Concerns maintained by the Small BusinessAdministration and no material change in ownership and control principal office of ownership or HUBZone employee percentage has occurred since it was certified by the Small Business Administration in accordance with 13 CFR Part 126 and ii It is is not a joint venture that complies with the requirements of 13 CFR Part 126 and the concerns that are participating in the joint venture. The offeror shall enter the name or names of the HUBZone small business concern or concerns that are participating in the joint venture. Each HUBZone small business concern participating in the joint venture shall submit a separate signed copy of the HUBZone representation* Complete if offeror represented itself as disadvantaged in paragraph b 2 of this provision. The offeror shall check the category in which its ownership falls Black American* Hispanic American* Native American American Indians Eskimos Aleuts or Native Hawaiians. Asian-Pacific American persons with origins from Burma Thailand Malaysia Indonesia Singapore Brunei Japan China Taiwan Laos Cambodia Kampuchea Vietnam Korea The Philippines U*S* Trust Territory of the Pacific Islands Republic of Palau Republic of the Marshall Islands Federated States of Micronesia the Commonwealth of the Northern Mariana Islands Guam Samoa Macao Hong Kong Fiji Tonga Kiribati Tuvalu or Nauru. Subcontinent Asian Asian-Indian American persons with origins from India Pakistan Bangladesh Sri Lanka Bhutan the Maldives Islands or Nepal.

Aoc ky forms certificate of se... Feb 27, 2002 ... CERTIFICATION FORM. (FOR ACQUITTAL OR DISMISSAL. County. COMMONWEALTH OF KENTUCKY. PLAINTIFF. VS. DEFENDANT ...

Instrument assignment idl idah... INSTRUMENT ASSIGNMENT Note: Incomplete forms will not be processed. All Assignment fees are Non-refundable. For and in consideration of the full sale price of $ dollars paid for the dollars, paid

Trade name assignment nd form COMPLETE, PRINT, SIGN AND FAX OR MAIL (If paying with credit card complete authorization at bottom of page 3) FOR OFFICE USE ONLY ID#: WO#: Filed: By: TRADE NAME ASSIGNMENT SECRETARY OF STATE SFN

Assignment of trade name regis... Wyoming Secretary of State State Capitol Building, Room 110 200 West 24th Street Cheyenne, WY 82002-0020 Ph. 307.777.7311 Fax 307.777.5339 Email: business state.wy.us For Office Use Only Assignment

Ct dmv q1 formpdf state of florida department of highway safety and motor vehicles division of motor vehicles neil kirkmanbuilding tallahassee, ... when should this form be used'?

Title reassignmentpdffillercom... STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES Neil Kirkman Building, 2900 Apalachee Parkway, Tallahassee, FL 32399-0620 REASSI G N M EN T SU PPLEM EN

Aarp assignment of benefits fo... Assignment of Benefits Form Financial Responsibility All professional services rendered are charged to the patient and are due at the time of service, unless other arrangements have been made in advance

Notification of sale transfer... C-9600 10-99, R-6 STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF TAXATION Bulk Sale Section PO Box 245 Trenton, New Jersey 08695-0245 NOTIFICATION OF SALE, TRANSFER, OR ASSIGNMENT IN BULK

State of arizona assignment of... DO NOT WRITE IN THIS SPACE State of Arizona Assignment of Trade Name Application Mail to: Arizona Secretary of State Ken Bennett Attention: Business Services, Trade Name Division 1700 W. Washington

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