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Form preview Mary kay worksheet form SPECIALIZING IN SMALL BUSINESSES TAXES Name Year If this is your first year - Give Start Date MARY KAY WORKSHEET THIS IS AN INFORMATION WORKSHEET FOR OUR CLIENTS CALL IF YOU HAVE QUESTIONS. Total Sales Including Tax Commissions Prizes Beginning Inventory At Your Cost Section 1 Purchases Your Cost - From Packing Slips Personal Use Product Your Cost - Unseen - Physically Can Not See Closing Inventory At Your Cost Advertising PCP PINK etc. Insurance on Mary Kay Product Interest on Loan or Credit Card Dry Cleaning Legal and Professional Office or Bookkeeping Expenses Weekly Meeting Fees Supplies Sales Tax Paid From Packing Slips Travel Expenses Meals and Food Bank Charges on Mary Kay Account Propay Fees Dues and Publications Postage Freight Expense From Packing Slips Section 2 From Packing Slips Workshops Telephone and Communication Expenses Mary Kay Long Distance Second Phone Line Home Phone Add-ons Cell Phone Voice Mail Internet Access Current Year Assets Purchased Date Amount Description Misc. description Vehicle Expenses Total Vehicle Miles Purchase Price Lease Payments Total Mary Kay Miles Gas Oil Repairs etc. Tags Insurance Office In Home Expenses Utilities Gas Electric Water Sewage Garbage Cable Telephone Base Rate For the Year Insurance Homeowners or Renters Rent for Renters Repairs and Maintenance Real estate Taxes Mortgage Interest Sq. Foot Of Home or Apartment Sq. Foot of Mary Kay Usage Cost of Home Purchase Date 519 E* LEWIS CLARK PARKWAY CLARKSVILLE IN 47129 812 283-9385 - FAX 812 283-9380 - 800 988-7324 www.
Form preview Seterus third form THIRD PARTY AUTHORIZATION I/We authorize Seterus Inc. its successors and/or assigns Seterus Inc. to release any and all information regarding my loan to the designated third parties listed below. In addition I/we authorize Seterus Inc. to check all that apply Negotiate with the designated third parties listed below any and all payment plans forbearance agreements modifications or other loss mitigation solutions. An escrow account is required for most loss mitigation options. I/We agree to release and hold Seterus Inc. its employees officers and agents harmless from any claims based upon the above Loan Number Property Address You may authorize more than one third party. Such information may include but is not limited to the amount due on my loan payment and credit history loan payoff s and any credit transactions. Accept any directions or authorizations from the designated third parties listed below as valid directions or authorizations from me regarding any escrow deficiencies and agreements to impound for escrow. AUTHORIZED AGENTS Third Party Name Phone Number Primary Borrower Printed Name Date Co-Borrower Printed Name NOTARY ACKNOWLEDGMENT FOR THIRD PARTY AUTHORIZATION State of County of Insert name and title of the notary who proved to me on the basis of satisfactory evidence to be the person s whose name s is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity ies and that by his/her/their signature s on the instrument the person s or the entity upon behalf of which the person s acted executed the instrument. I certify under penalty of perjury under the laws of the State of that the foregoing paragraph is true and correct. WITNESS my hand and official seal* Notary Signature Seal THIS COMMUNICATION IS FROM A DEBT COLLECTOR AS WE SOMETIMES ACT AS A DEBT COLLECTOR* WE ARE ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE* HOWEVER IF YOU ARE IN BANKRUPTCY OR RECEIVED A BANKRUPTCY DISCHARGE OF THIS DEBT THIS LETTER IS NOT AN ATTEMPT TO COLLECT THE DEBT BUT NOTICE OF POSSIBLE ENFORCEMENT OF OUR LIEN AGAINST THE COLLATERAL OR FOR INFORMATIONAL PURPOSES ONLY. IF YOU RECEIVE OR HAVE RECEIVED A DISCHARGE OF THIS DEBT THAT IS NOT REAFFIRMED IN A BANKRUPTCY PROCEEDING YOU WILL NOT BE PERSONALLY RESPONSIBLE FOR THE DEBT. HOWEVER THE LIEN AGAINST THE PROPERTY SECURING THIS DEBT MAY REMAIN ON THE PROPERTY UNTIL THE AMOUNT OWING ON THE LOAN IS PAID. COLORADO SEE WWW*COLORADOATTORNEYGENERAL*GOV/CA FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION PRACTICES ACT. Seterus Inc* maintains a local office at 355 Union Boulevard Suite 250 Lakewood CO 80228. The office s phone number is 888. 738. 5576. NEW YORK CITY 1411669 1411665 1411662. TENNESSEE This collection agency is licensed by the Collection Service Board of the Department of Commerce and Insurance. AUTHORIZED AGENTS Third Party Name Phone Number Primary Borrower Printed Name Date Co-Borrower Printed Name NOTARY ACKNOWLEDGMENT FOR THIRD PARTY AUTHORIZATION State of County of Insert name and title of the notary who proved to me on the basis of satisfactory evidence to be the person s whose name s is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity ies and that by his/her/their signature s on the instrument the person s or the entity upon behalf of which the person s acted executed the instrument. I certify under penalty of perjury under the laws of the State of that the foregoing paragraph is true and correct.
Form preview Xi18d sales and compensating u... Contractors must also file a Form ST-220-CA certifying to the procuring state entity that they filed Form ST-220-TD with the Tax Department and that the information contained on Form ST-220-TD is correct and complete as of the date they file Form ST-220-CA. Page 2 of 4 ST-220-TD 12/11 I hereby affirm under penalty of perjury that I am name title of the above named contractor and that I am authorized to make this certification on behalf of such contractor. ST-220-TD New York State Department of Taxation and Finance Pursuant to Section 5-a of the Tax Law as amended effective April 26 2006 Contractor Certification 12/11 For information consult Publication 223 Questions and Answers Concerning Tax Law Section 5-a see Need help below. Sworn to this day of sign before a notary public ST-220-TD 12/11 Page 3 of 4 Schedule A Listing of each entity contractor affiliate or subcontractor exceeding 300 000 cumulative sales threshold List the contractor or affiliate or subcontractor in Schedule A only if such entity exceeded the 300 000 cumulative sales threshold during the specified sales tax quarters. See Need help for more information on how to obtain this publication. Note Form ST-220-TD must be signed by a person authorized to make the certification on behalf of the contractor and the acknowledgement on page 4 of this form must be completed before a notary public. Mail completed form to NYS TAX DEPARTMENT DATA ENTRY SECTION W A HARRIMAN CAMPUS ALBANY NY 12227 This information will be used to determine and administer tax liabilities and when authorized by law for certain tax offset and exchange of tax information programs as well as for any other lawful purpose. Contractor name Contractor s principal place of business City State ZIP code Contractor s mailing address if different than above Contractor s federal employer identification number EIN Contractor s sales tax ID number if different from contractor s EIN Contractor s telephone number Covered agency or state agency Contract number or description Estimated contract value over the full term of contract but not including renewals General information Privacy notification Section 5-a of the Tax Law as amended effective April 26 2006 requires certain contractors awarded certain state contracts valued at more than 100 000 to certify to the Tax Department that they are registered to collect New York State and local sales and compensating use taxes if they made sales delivered by any means to locations within New York State of tangible personal property or taxable services having a cumulative value in excess of 300 000 measured over a specified period. In addition contractors must certify to the Tax Department that each affiliate and subcontractor exceeding such sales threshold during a specified period is registered to collect New York State and local sales and compensating use taxes. The Commissioner of Taxation and Finance may collect and maintain personal information pursuant to the New York State Tax Law including but not limited to sections 5-a 171 171-a 287 308 429 475 505 697 1096 1142 and 1415 of that Law and may require disclosure of social security numbers pursuant to 42 USC 405 c 2 C i.
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