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Homeowner contractor form HOMEOWNER/CONTRACTOR AGREEMENT FHA 203 k Rehabilitation Program Owner s Name s FHA Case No Address City State Telephone Work Home Zip Code Contractors Name Cell THIS AGREEMENT three pages made this date between the above mentioned Homeowner Owner and Contractor is for the rehabilitation of the property located at for FHA mortgage insurance under Section 203 k of the National Housing Act. If owner fails to do so then the contract is void. If the contractor fails to correct defective work or persistently fails to carry out the work in accordance with the agreement or general provisions the owner may order the contractor in writing to stop such work or a part of the work until the cause for the order has been eliminated. Owners Initials Contractor s Initials -Continued on Page Two- FHA 203 k Home Owner - Contractor Agreement Form 2420 Rev. 1/5/05 Loan Borrower 3. The Owner s shall pay the Contractor the sum of for completion of the work including all sales tax due by law together with such increases or decreases in the contract price as may be approved in writing by the Lender. The work will begin within 30 days of loan closing with the Lender and will be completed no later than unless delayed beyond the Contractor s control* The General Provisions listed below are made a part of this Agreement. The contract documents consist of the architectural exhibits listed in the Rehabilitation Loan Agreement between the Owner s and the Lender or as described below or on an attached sheet 1. Contract Documents This Agreement includes all general provisions special provisions and architectural exhibits that were accepted by the lender. Work not covered by this agreement will not be required unless it is required by reasonable inference as being necessary to produce the intended result* By executing this Agreement the contractor represents that he/she has visited the site and understands local conditions including state and local building regulations and conditions under which the work is to be performed* 2. Owner Unless otherwise provided for in the Agreement the owner will secure and pay for necessary easements exceptions from zoning requirements or other actions which must precede the approval of a permit for this project. Contractor The contractor will supervise and direct the work and the work of all subcontractors. He/she will use the best skill and attention and will be solely responsible for all construction methods and materials and for coordinating all portions of the work. Unless otherwise specified in the Agreement the contractor will provide for and/or pay for all labor materials equipment tools machinery transportation and other goods facilities and services necessary for the proper execution and completion of the work. The contractor will maintain order and discipline among employees and will not assign anyone unfit for the task. The contractor warrants to the owner that all materials and equipment incorporated are new and that all work will be of good quality and free of defects or faults.

Oklahoma contract sale form OKLAHOMA REAL ESTATE COMMISSION This is a legally binding Contract if not understood seek advice from an attorney OKLAHOMA UNIFORM CONTRACT Residential Contract OF SALE OF REAL ESTATE This form was created by the Oklahoma Real Estate Contract Form Committee and approved by the Oklahoma Real Estate Commission. CONTRACT DOCUMENTS. The Contract is defined as this document with the following attachment s check as applicable Conventional Supplemental FHA Supplemental Assumption/Other Seller Carry Single Family Mandatory Homeowners Association Supplemental Condominium Association Supplemental Townhouse Association Supplemental Supplemental Addendum Parties. OREC RESIDENTIAL SALES 1-2011 Page 1 of 6 PROPERTY ADDRESS ACCESSORIES EQUIPMENT AND SYSTEMS. The following items if existing on the Property unless otherwise excluded shall remain with the Property at no additional cost to Buyer Attic and ceiling fan s ireplace inserts logs grates doors F utside cooking unit s if attached O Bathroom mirror s and screens ropane tank s if owned Other mirrors if attached ree standing heating unit s V antennas/satellite dish system s T Central vacuum attachments umidifier s if attached H and control s if owned Floor coverings if attached ater conditioning systems if W prinkler systems control s S Key s to the property owned Swimming Pool/Spa equipment/ Built-in and under cabinet/counter indow treatments coverings accessories appliance s interior exterior ttached recreational equipment A Free standing slide-in/drop-in torm windows screens storm xterior landscaping and lighting E kitchen stove doors ntry gate control s Built-in sound system s /speaker s arage door opener s remote G ater meter sewer/trash Lighting light fixtures transmitting unit s membership if owned Fire smoke and security system s if ences includes sub-surface ll remote controls if applicable electric components ransferable Service Agreements Shelving if attached ailboxes/Flag poles M and Product Warranties A. Additional Inclusions. The following items shall also remain with the Property at no additional cost to Buyer B. Exclusions. The following items shall not remain with the Property 5. time periods specified in Contract. Funds required from Buyer and Seller at Closing shall be either cash cashier s check or wire transfer. OREC RESIDENTIAL SALES 1-2011 Page 1 of 6 PROPERTY ADDRESS ACCESSORIES EQUIPMENT AND SYSTEMS. The following items if existing on the Property unless otherwise excluded shall remain with the Property at no additional cost to Buyer Attic and ceiling fan s ireplace inserts logs grates doors F utside cooking unit s if attached O Bathroom mirror s and screens ropane tank s if owned Other mirrors if attached ree standing heating unit s V antennas/satellite dish system s T Central vacuum attachments umidifier s if attached H and control s if owned Floor coverings if attached ater conditioning systems if W prinkler systems control s S Key s to the property owned Swimming Pool/Spa equipment/ Built-in and under cabinet/counter indow treatments coverings accessories appliance s interior exterior ttached recreational equipment A Free standing slide-in/drop-in torm windows screens storm xterior landscaping and lighting E kitchen stove doors ntry gate control s Built-in sound system s /speaker s arage door opener s remote G ater meter sewer/trash Lighting light fixtures transmitting unit s membership if owned Fire smoke and security system s if ences includes sub-surface ll remote controls if applicable electric components ransferable Service Agreements Shelving if attached ailboxes/Flag poles M and Product Warranties A.

Nj home improvement contractor... New Jersey Office of the Attorney General Division of Consumer Affairs Office of Consumer Protection Regulated Business Section 124 Halsey Street, 7th Floor, P.O. Box 46016, Newark, NJ 07101 Home

Afm contract form AMERICAN FEDERATION OF MUSICIANS OF THE UNITED STATES AND CANADA (HEREIN CALLED FEDERATION ) CONTRACT (Form L-1) FOR LOCAL ENGAGEMENTS ONLY (NOT FOR USE IN CANADA) Whenever the term The Local Union

Form 95 See 18 U.S.C. 287 1001. NSN 7540-00-634-4046 STANDARD FORM 95 REV. 2/2007 PRESCRIBED BY DEPT. OF JUSTICE 28 CFR 14. 13a. SIGNATURE OF CLAIMANT See instructions on reverse side. 13b. PHONE NUMBER OF PERSON SIGNING FORM 14. DATE OF SIGNATURE CRIMINAL PENALTY FOR PRESENTING FRAUDULENT CLAIM OR MAKING FALSE STATEMENTS CIVIL PENALTY FOR PRESENTING FRAUDULENT CLAIM The claimant is liable to the United States Government for a civil penalty of not less than 5 000 and not more than 10 000 plus 3 times the amount of damages sustained by the Government. See 31 U.S.C. 3729. Authorized for Local Reproduction Previous Edition is not Usable 95-109 Fine imprisonment or both. A CLAIM SHALL BE DEEMED TO HAVE BEEN PRESENTED WHEN A FEDERAL AGENCY RECEIVES FROM A CLAIMANT HIS DULY AUTHORIZED AGENT OR LEGAL REPRESENTATIVE AN EXECUTED STANDARD FORM 95 OR OTHER WRITTEN NOTIFICATION OF AN INCIDENT ACCOMPANIED BY A CLAIM FOR MONEY Failure to completely execute this form or to supply the requested material within two years from the date the claim accrued may render your claim invalid. A claim is deemed presented when it is received by the appropriate agency not when it is mailed. If instruction is needed in completing this form the agency listed in item 1 on the reverse side may be contacted. Complete regulations pertaining to claims asserted under the Federal Tort Claims Act can be found in Title 28 Code of Federal Regulations Part 14. INSTRUCTIONS Please read carefully the instructions on the reverse side and supply information requested on both sides of this form* Use additional sheet s if necessary. See reverse side for additional instructions. CLAIM FOR DAMAGE INJURY OR DEATH 1. Submit to Appropriate Federal Agency 3. TYPE OF EMPLOYMENT MILITARY 4. DATE OF BIRTH FORM APPROVED OMB NO. 1105-0008 2. Name address of claimant and claimant s personal representative if any. See instructions on reverse. Number Street City State and Zip code. 5. MARITAL STATUS 6. DATE AND DAY OF ACCIDENT 7. TIME A. M. OR P. M. CIVILIAN 8. BASIS OF CLAIM State in detail the known facts and circumstances attending the damage injury or death identifying persons and property involved the place of occurrence and the cause thereof* Use additional pages if necessary. PROPERTY DAMAGE NAME AND ADDRESS OF OWNER IF OTHER THAN CLAIMANT Number Street City State and Zip Code. BRIEFLY DESCRIBE THE PROPERTY NATURE AND EXTENT OF THE DAMAGE AND THE LOCATION OF WHERE THE PROPERTY MAY BE INSPECTED. PERSONAL INJURY/WRONGFUL DEATH STATE THE NATURE AND EXTENT OF EACH INJURY OR CAUSE OF DEATH WHICH FORMS THE BASIS OF THE CLAIM. IF OTHER THAN CLAIMANT STATE THE NAME OF THE INJURED PERSON OR DECEDENT. WITNESSES NAME ADDRESS Number Street City State and Zip Code AMOUNT OF CLAIM in dollars 12. See instructions on reverse. 12a* PROPERTY DAMAGE 12b. PERSONAL INJURY 12c* WRONGFUL DEATH 12d. TOTAL Failure to specify may cause forfeiture of your rights. I CERTIFY THAT THE AMOUNT OF CLAIM COVERS ONLY DAMAGES AND INJURIES CAUSED BY THE INCIDENT ABOVE AND AGREE TO ACCEPT SAID AMOUNT IN FULL SATISFACTION AND FINAL SETTLEMENT OF THIS CLAIM.

Wells fargo philanthropic serv... Wells Fargo Philanthropic Services Grant Application Instructions Wells Fargo Philanthropic Services provides grant administration services for various foundations. Guidelines, deadlines, and submission

Illinois standard health appli... Illinois Standard Health Employee Application for Small Employers For assistance in completing this application please contact your employer or insurance agent. GR-67834-49 1-11 Aetna Life Insurance Company NAIC No. 001-60054 Aetna Health Inc. NAIC No. 95109 V1 IL R-POD A ILLINOIS STANDARD HEALTH APPLICATION SMALL EMPLOYER C Waiver of Coverage Please complete this section only if y o u a r e w a i v i n g d e c l i n i n g c o v e r a g e for yourself or one or more of your family members. Insurance carrier on the certificate of coverage/certificate of insurance. I hereby enroll for benefits as indicated in Section B and Section H of this application for which I am presently eligible or for which I may become eligible under my employer s group contract s. If any deductions are required for this coverage I authorize such deductions from my earnings. I reserve the right to revoke this deduction authorization at any time upon written notice. to make decisions regarding eligibility enrollment underwriting and premium risk rating. A photographic copy of this acknowledgment shall be as valid as the original. I authorize the insurance carrier to electronically transmit the information contained herein. signature line of the application and I agree that such printing shall be treated as a valid signature for all purposes of this form. I acknowledge that the insurance carrier has verified my identity for this purpose in accordance with any applicable law or regulation. By signing below I acknowledge that I have read and understand this document and I am signing of my own free will. Employee Signature Date For information about your health care rights under state and federal law and other resources please contact the Illinois Department of Insurance s Office of Consumer Health Insurance toll free at 877 527-9431. Alcohol drug or substance use or dependency N. Organ or bone marrow transplant If yes are multiples twins triplets etc. expected Are there any known complications or is a cesarean section planned 2 Are you your spouse/domestic partner or any dependent for whom you are requesting coverage currently pregnant Due Date MM/DD/YYYY 3 W i t h i n t h e p a s t 1 2 m o n t h s have you or your spouse/domestic partner used any tobacco products other than for the common cold or flu that is n o t i n d i c a t e d e l s e w h e r e i n this application diagnosed with had medical treatment recommended received medical treatment including prescription medications or been hospitalized for a n y i l l n e s s i n j u r y o r health condition not indicated above G Additional Information I f y o u a n s w e r e d Y e s t o any o f t h e q u e s t i o n s a b o v e y o u m u s t c o m p l e t e t h i s s e c t i o n. Question Number Name of Individual Condition/Diagnosis Treatment Received Treatment ongoing Date Diagnosed MM/YYYY Last Treatment Date Surgery additional tests or treatment recommended Medication Prescribed if any Currently taking medication Additional Coverage Options You should complete this section only if your employer offers any of the additional coverage options PPO HMO Dental HMO Office ID if applicable Amount if applicable Employee Class employer will provide you with this information if needed Salary if requesting life or disability coverage Hourly Weekly Monthly Semi-monthly Annually B e n e f i c i a r y I n f o r m a t i o n if requesting life insurance Primary Beneficiary Name Last First MI Relationship Benefit Secondary Beneficiary Name Last First MI Acknowledgement Signature I understand agree and represent that I have read this document or it has been read to me. The answers provided within this entire application for coverage are to the best of my knowledge and belief true and complete. Diabetes If yes check all that apply Non- Dependent Dependent Pump L. HIV positive AIDS diseases associated with AIDS lupus or other disorder of the immune system M. Alcohol drug or substance use or dependency N. Organ or bone marrow transplant If yes are multiples twins triplets etc. expected Are there any known complications or is a cesarean section planned 2 Are you your spouse/domestic partner or any dependent for whom you are requesting coverage currently pregnant Due Date MM/DD/YYYY 3 W i t h i n t h e p a s t 1 2 m o n t h s have you or your spouse/domestic partner used any tobacco products other than for the common cold or flu that is n o t i n d i c a t e d e l s e w h e r e i n this application diagnosed with had medical treatment recommended received medical treatment including prescription medications or been hospitalized for a n y i l l n e s s i n j u r y o r health condition not indicated above G Additional Information I f y o u a n s w e r e d Y e s t o any o f t h e q u e s t i o n s a b o v e y o u m u s t c o m p l e t e t h i s s e c t i o n. Question Number Name of Individual Condition/Diagnosis Treatment Received Treatment ongoing Date Diagnosed MM/YYYY Last Treatment Date Surgery additional tests or treatment recommended Medication Prescribed if any Currently taking medication Additional Coverage Options You should complete this section only if your employer offers any of the additional coverage options PPO HMO Dental HMO Office ID if applicable Amount if applicable Employee Class employer will provide you with this information if needed Salary if requesting life or disability coverage Hourly Weekly Monthly Semi-monthly Annually B e n e f i c i a r y I n f o r m a t i o n if requesting life insurance Primary Beneficiary Name Last First MI Relationship Benefit Secondary Beneficiary Name Last First MI Acknowledgement Signature I understand agree and represent that I have read this document or it has been read to me. INSURER USE ONLY Policy/Group No. Section No. Effective Date New Hire Waiting Period This standard application is intended to simplify your health insurance application process. You will only need to complete this one application even when your employer has requested quotes from multiple insurance companies. The information you provide in this application will be sent to the following insurance companies To be completed by employer Insurer TO BE COMPLETED BY EMPLOYER Employer Name Phone Address R e a s o n f o r E n r o l l m e n t Mark all that apply New Enrollment New Group Special Enrollment Adoption Court Order Loss of Coverage Employment Status Active New Hire Date Dependent Addition Marriage Newborn Retiree Retirement Date Illinois Continuation Employee Divorce / Domestic Partner Date of Event Other Late Enrollee COBRA Dependent Qualifying Event Start Date A Projected End Date Employee Information First Name Last Job Title MI Marital Status Married Single Widowed Hrs/Week Home Address Apt City State Home or Cell Phone Zip Business Phone Email Address optional B Coverage Requested Medical Yes Plan Choice No Spouse/Domestic Partner Child ren If you are w a i v i n g d e c l i n i n g coverage for yourself or any member of your family you must complete Section C below.

Printable forms to file a moti... This sample report form can help document the findings of a preliminary investigation into an accident or incident in your workplace. You can copy and use this form or make your own. Fill out an investigation

Online day planner form ONE DAY PLANNER THINGS TO DO DAY DATE DAILY SCHEDULE 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 NOTES * NOTES * NOTES * NOTES 4:30 5:00 5:30

Music is revolution email form The Michael Davis MUSIC IS REVOLUTION MINI-GRANT APPLICATION GUIDELINES Funding Provided by the MUSIC IS REVOLUTION Foundation and its Contributors The Music Is Revolution Foundation administers a mini-grant program for Music Is Revolution activities designed by teachers to implement support and/or improve their ability to provide quality music education for their students. If approved applicants should receive funds within 30 days. Mail or e-mail the application to Music Is Revolution Foundation P. Provide sufficient information to enable the Music Is Revolution Foundation Selection Committee to have a clear understanding of your project. Show the total budget for your project as well as the specific amount you are requesting from the Music Is Revolution Foundation. Evaluation Describe how you will measure the impact of this project i.e. changes/growth in the amount of time spent by students making music or listening to music greater understanding of the students about different genres of music cultures careers in music etc.. O. Box 11899 Portland OR 97211 grants musicisrevolution.com Date Teacher s Name School School District Grade s Principal Federal Tax ID School Address City State Phone s Zip Fax E-mail Name of Project Genre of Music Supported Number of Students Served By This Project List any Unique Characteristics of Students Approximate date s and/or Time Span of Project Total Cost of Project Total Music Is Revolution Mini-Grant Funding Requested Attach up to two pages including project description and budget. Mini-grants up to 500 are available to teachers for music education activities of all types. Only projects that clearly contain a music education focus that is projects based on the concept academic and cultural identity and humanizing them through the emotional cognitive and/or physical impact of music will be considered* Applicants are encouraged to include activities that expose students to genres and styles of music not likely to be experienced as a part of their normal daily lives and to plan the project with input from students parents and school administrators so that the project supports the imaginations of the students while maintaining relevance to the curriculum already in place. Funds may be used for supplies materials equipment transportation for a field trip and/or to bring a performer or musical group to the school* Funds may not be used to pay for personnel to replace state or local school funds or for celebration food and drinks. Applications for mini-grants are reviewed three times each year. Deadlines are January 15 April 15 and October 15. Applications received after a deadline will be reviewed in the subsequent grant cycle. Applicants will be notified about the status of their mini-grants within 60 days of each deadline. along with photographs and/or audio recordings be submitted to the Foundation within 30 days of completion of the project. WHO MAY APPLY Public school teachers of children in grades K-12 may apply for funding. Students and/or parents may participate in the writing of the application* PIFF 11.

Standard form 424d OMB Approval No. 0348-0042 ASSURANCES - CONSTRUCTION PROGRAMS Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing

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