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New york state department of h... Caution: DRAFT FORM This is an advance proof copy of an IRS tax form. It is subject to change and OMB approval before it is officially released. If you have any comments on this draft form, you can

Nevada declaration paternity f... State of Nevada Declaration of Paternity THIS IS A LEGAL DOCUMENT. TYPE OR PRINT IN BLACK INK. Parents are to be given a copy of this completed document prior to sending to the Office of Vital Records see bottom of page. You may need to hire a private attorney to assist you. 9. Unless you can show special circumstances of fraud duress or material mistake of fact under Nevada law you may not be able to petition the court to declare that you are not the legal father of the child. You may need to hire a private attorney to assist you. 10. This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old whichever is later. You may need to hire a private attorney to assist you. 10. This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old whichever is later. However your name will remain on the birth certificate until a court declares that you are not the legal father of this child. Mailing Instructions Please mail the completed form to the office of Vital Records 4150 Technology Way Suite 104 Carson City Nevada 89706. I consent to adding the name of the man signing this form to the birth certificate of the child s birth certificate SIGNATURE OF FATHER DATE SIGNED WITNESS OF MOTHER S SIGNATURE Once this document is signed by all parties please provide copies to the mother father and hospital. The original document must be sent to the Nevada Office of Vital Records 4150 Technology Way Suite 104 Carson City NV 89706 for filing. Rights and Responsibilities of Acknowledging Paternity By Signing This Declaration of Paternity 1. You are acknowledging that you are the legal father of this child which after 60 days creates a legal determination that you are the father. PLEASE READ PAGE 2 BEFORE COMPLETING* SECTION A ALL PARTS OF SECTIONS A B MUST BE COMPLETED AND SECTION D WITNESSED NAME OF CHILD FIRST MIDDLE LAST SEX OF THE CHILD DATE OF BIRTH Month Day Year Child HOSPITAL NAME CITY Place of Birth COUNTY NAME OF FATHER FIRST Father s Information STATE SOCIAL SECURITY NUMBER STATE OR FOREIGN COUNTRY OF BIRTH CURRENT ADDRESS Number Street City State Zip Mother s SECTION B As part of the filing procedure the child s name may be changed at this time from the name appearing on the original birth certificate. A name change requested after this declaration is filed may require a court order. No white-out erasures or cross-outs will be allowed in this section* First Middle Last READ OTHER SIDE BEFORE SIGNING I declare under the penalty of perjury that o The information I have provided is true and correct. I am the legal father of the child named on this declaration* I have read and understand the rights and responsibilities described on the back of this form* I have been orally/audio informed of my rights and responsibilities. I understand that by signing this form I voluntarily consent to the establishment of paternity and accept all of the rights and responsibilities as the legal father of this child.

Declaration intent repairs for... Hazard Insurance Property Damage Form Declaration of Intent to Complete Repairs U. S. Bank Home Mortgage account number This is to certify that I am the owner of the property located at. The undersigned further states that the repairs in connection with the damage that occurred on due to will be completed and the property will be restored to as good a condition or better than it was previous to the loss. The claim proceeds issued for claim number will be used for the restoration of the property. The undersigned also agrees to indemnify and hold U* S* Bank Home Mortgage harmless against any and all claims which may arise as a result of funds being paid in advance for the above work or claim* Mortgagor Date Co-mortgagor Mailing address Contact numbers. The undersigned further states that the repairs in connection with the damage that occurred on due to will be completed and the property will be restored to as good a condition or better than it was previous to the loss. The claim proceeds issued for claim number will be used for the restoration of the property. The undersigned also agrees to indemnify and hold U* S* Bank Home Mortgage harmless against any and all claims which may arise as a result of funds being paid in advance for the above work or claim* Mortgagor Date Co-mortgagor Mailing address Contact numbers.

Declaration for multi day fish... CALIFORNIA NATURAL RESOURCES AGENCY DEPARTMENT OF FISH AND GAME DECLARATION FOR MULTI-DAY FISHING TRIP FEE: $5.25 Multi-day fishing trips are provided for under the authority of Section 27.15 of Title

Tax file declaration form 2017... Instructions and form for taxpayersTax file number declaration Information you provide in this declaration will allow your payer to workouthowmuch tax to withhold from payments made to you.This is

B374 form Name Signature When submitting this form by fax mail or by hand you must sign this declaration Date / No written signature is required when this declaration is sent by email As an individual you must include your full name separately in the email or For an organisation you must include the Name and ABN of the organisation separately in the email and the full name of the individual sending the email. PAGE 1 B374 July 2010 YOU MAY PROVIDE ADDITIONAL INFORMATION HERE CUSTOMS AND BORDER PROTECTION USE ONLY PAGE 2 Instructions How to fill in the form Import Declaration N10 Post Additional assistance is available from the Customs Information and Support Centre 1300 363 263 or online at www. Import Declaration N10 - Post APPROVED FORM SECTION 71K AND APPROVED STATEMENT SECTION 71L OF THE CUSTOMS ACT 1901 Submit via Email Print Customs and Border Protection use only PRIVACY NOTICE The Privacy Act 1988 says we must tell you why we are collecting this information how we will use it and if you have to give it to us. The reference number begins with N Q V or W. If you have more than one reference number regarding parcels from the same supplier you can include those numbers in the additional information box on page 2 of the import declaration. COUNTRY OF ORIGIN If known you must tell us the country of origin of the goods. If you are required to hold a permit to import these goods the permit details will also be given to the relevant permit issuing agency. HOW TO FILL IN THIS FORM Instructions on how to complete this form are available from www. customs. gov.au. Please type your answers or print them in BLOCK letters. PLEASE NOTE When sent by mail or fax the declaration must be signed in the box provided in section 4. If you intend to claim that a free trade agreement applies you need to state that here and you must record the country of origin in the Parcel/s information section of the import declaration. You may be required to provide qualifying evidence for any concession you claim. VALUE OF POSTAGE AND INSURANCE You must tell us the true and correct amount paid for posting the goods to you and the amount paid to insure the goods for carriage by post and you must indicate in what currency the amount was paid. GST is calculated by including the postage TOTAL VALUE OF THE GOODS You must tell us the total value of all the goods and in all cases you must indicate in what currency the amount was paid for example 1 400 in US dollars. We require this information under the Customs Act 1901 so we can ensure that your goods are properly cleared for delivery into home consumption* The information you provide will be given to the Australian Quarantine and Inspection Service the Australian Bureau of Statistics and the Australian Taxation Office. If you are required to hold a permit to import these goods the permit details will also be given to the relevant permit issuing agency. HOW TO FILL IN THIS FORM Instructions on how to complete this form are available from www. customs.

Statutory visa form Commonwealth of Australia STATUTORY DECLARATION PARTNER VISA APPLICANT Statutory Declarations Act 1959 I 1 1 Insert the name address and occupation of person making the declaration make the following declaration under the Statutory Declarations Act 1959 That I have a mutual commitment to a shared life as a husband and wife or as a de facto partner or as an interdependent partner to the exclusion of all others with 2 2 Insert the full name of your partner That our relationship is genuine and continuing. A certified copy of birth certificate for any children born since the grant of your last visa to be provided. Describe the social aspects of your relationship including social activities attending special events or joint travel you and your partner undertake. Please provide evidence of this and emotional support you draw from each other and whether you see the relationship as a long-term one. name occupation telephone number s of two 2 persons agreeing to make a verbal or written declaration about I also provide the details including occupation address and contact telephone number s of the following two persons who have agreed to provide a verbal or written declaration on request regarding the nature of my should the Department wish to contact them and request a declaration. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959 and I believe that the statements in this declaration are true in every particular. That 3 a 4 live together or b 4 4 Cross out whichever is inapplicable 5 Insert the year your partner relationship commenced* 6 Insert number of months or years. and I live separately and apart on a permanent basis and we have lived together for 6 Describe financial commitments you and your partner share for example joint/individual bank accounts ownership of property or other major assets pooling of financial resources and sharing of day to day household expenses. Please provide evidence of this financial commitment Describe the nature of your household including any joint responsibility for the care and support of children your living arrangements and sharing of the responsibility for housework. A certified copy of birth certificate for any children born since the grant of your last visa to be provided* Describe the social aspects of your relationship including social activities attending special events or joint travel you and your partner undertake. Please provide evidence of this and emotional support you draw from each other and whether you see the relationship as a long-term one. name occupation telephone number s of two 2 persons agreeing to make a verbal or written declaration about I also provide the details including occupation address and contact telephone number s of the following two persons who have agreed to provide a verbal or written declaration on request regarding the nature of my should the Department wish to contact them and request a declaration* I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959 and I believe that the statements in this declaration are true in every particular.

Primary producer declaration f... Tax agent The signatory of the primary producer declaration collects and holds your personal information. Declaration of eligibility for a registration concession 1. Details of primary producer Please print Full name of applicant Full business or company name if applicable Position in business Address Postcode Place where primary production is carried out if same address write as above Type of primary producer Type of goods or produce carried Refer to the privacy information before signing. Signature Date 2. Certifying agent s statement To be made by the primary producer s qualified accountant or registered tax agent. taxation and other records of the applicant. Based on these I confirm that the applicant is engaged in primary production as defined under the Motor Vehicles Taxation Act 1988. Full name Qualified accountant or Tax Averaging or Assessment certificate number Date of certificate Signature of registry officer Staff number This declaration is valid for 12 months after the date of the applicant s signature. Transporting leaves that a primary producer has gathered from which eucalyptus or other oil is to be distilled. Purposes connected with clearing land that a primary producer will be using for primary production. Am I entitled to a primary producer concession If you meet the definition of a primary producer and are in possession of one of the following documents you are entitled to a registration concession two years old. your tax agent or accountant not more than 12 months old. An energy grants credits scheme claim assessment provided the activity printed under Claims details is shown as Agriculture Forestry or Fishing not more than two A Certificate of Incorporation from the Office of Fair Trading applies to rural societies only. To obtain a concession on the registration of your vehicle complete section 1 of the declaration in this brochure and present it to RMS. You do not have to present the documents with the declaration but must be able to present them on RMS request. To obtain a concession on the registration of your vehicle complete section 1 of the declaration in this brochure and present it to RMS. You do not have to present the documents with the declaration but must be able to present them on RMS request. If the vehicle is registered in joint names the concession applies only if both are eligible primary Failure to supply the required evidence may result in the also apply to any person who provides false or misleading Note Under the Motor Vehicles Taxation Act 1988 fish farmers and plantation forest cultivators are primary producers. Commercial fishers and loggers are not primary producers under this legislation and are therefore not What does a concession allow producer is a person who cultivates or uses land for their own benefit Light vehicles For the production of fruit grain flowers vegetables tobacco or farm or agricultural produce of any description. For vehicles up to 4. I declare that I have read the relevant privacy notice and the information in this application is complete true and correct in every detail* I also declare that vehicles on which the primary producer concession is obtained will be used principally for primary production* I understand that the concession is not available if the vehicle is hired out.

Wa quarantine freight declarat... Notice of Intent to Import Freight Declaration Quarantine WA Under the Biosecurity and Agriculture Management Act 2007 goods imported into Western Australia are subject to Quarantine restrictions. Failure to comply with restrictions may be an offence for which penalties apply. To facilitate the clearance of your goods you should complete this Declaration and submit it to Quarantine WA. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Failure to comply with restrictions may be an offence for which penalties apply. To facilitate the clearance of your goods you should complete this Declaration and submit it to Quarantine WA. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. 6. Location for unpacking/inspection* 7. Are you aware of the contents of this load Yes No 8. Contents Description including details of Prescribed Potential Carriers. See attached manifest Manifest PRESCRIBED POTENTIAL CARRIERS For the purposes of the Act each of the following is a prescribed potential carrier a new or used machinery or equipment or a part of machinery or equipment used or intended to be used or manufactured for use i in association with an agricultural activity or an agricultural product or ii iii in earthmoving or mining b an animal or animal product c animal feed of plant origin but not including processed animal feed or manufactured animal feed as those terms are defined in section 9 2 of the Act for dogs cats or fish d a plant other than a canned or cooked plant e f g h j k l m n o p canned seed absorbent pet litter derived from plant material soil plant growing media and landscaping material e*g* woodchips potting mix mulch a cargo container a container of any kind used for or in connection with agricultural a container used to transport animals other than dogs or cats non-potable water a vessel vessel ballast water a vehicle. PERSON MAKING DECLARATION I declare that the information I have given is true correct and complete and that I have understood the questions contained in this form* I understand failure to answer truthfully is a breach of the Biosecurity and Agriculture Management Act 2007 and may result in a fine. 9. Name Date Signature Contact Phone OFFICIAL USE ONLY Inspection Result More information required To be released from quarantine To be ordered for unpacking/inspection on Officer IDN QWA 027 03/13. CONSIGNMENT DETAILS 1. Name of Freight Forwarder / Agent/ Importer. 2. Transported by Road Prime Mover Registration 3. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. Date of entry into WA Sea Air Rail 4. Entry point 5. Container - Unit No s / Trailer Registration No s. 6. Location for unpacking/inspection* 7. Are you aware of the contents of this load Yes No 8. Contents Description including details of Prescribed Potential Carriers.

Statuary declaration qnd form Oaths Act 1867. Statutory Declaration. QUEENSLAND. TO WIT. I, of in the State of Queensland do solemnly and sincerely declare that. And I make this solemn ...

N10 declaration form Import Declaration N10 - Post APPROVED FORM SECTION 71K AND APPROVED STATEMENT SECTION 71L OF THE CUSTOMS ACT 1901 Customs and Border Protection use only PRIVACY NOTICE The Privacy Act 1988 says we must tell you why we are collecting this information how we will use it and if you have to give it to us. Signature Date / When submitting this form by fax mail or by hand you must sign this declaration No written signature is required when this declaration is sent by email As an individual you must include your full name separately in the email or For an organisation you must include the Name and ABN of the organisation separately in the email and the full name of the individual sending the email. YOU MAY PROVIDE ADDITIONAL INFORMATION HERE CUSTOMS AND BORDER PROTECTION USE ONLY Instructions How to ll in the form Import Declaration N10 Post Additional assistance is available from the Customs Information and Support Centre 1300 363 263 or online at www. We require this information under the Customs Act 1901 so we can ensure that your goods are properly cleared for delivery into home consumption* The information you provide will be given to the Australian Quarantine and Inspection Service the Australian Bureau of Statistics and the Australian Taxation Of ce. If you are required to hold a permit to import these goods the permit details will also be given to the relevant permit issuing agency. HOW TO FILL IN THIS FORM Instructions on how to complete this form are available from www. customs. gov*au. Please type your answers or print them in BLOCK letters. PLEASE NOTE When sent by mail or fax the declaration must be signed in the box provided in section 4. When sent by email follow the requirements at the bottom of this form* OWNER / RECIPIENT DETAILS Please provide at least one phone email or fax contact you must supply all except fax if available First name Last name or Organisation Address Phone Mobile Fax State Postcode Client identity reference ABN/CAC or Customs Client ID IF KNOWN Email if applicable SENDER/SUPPLIER DETAILS Please provide the details of the person or organisation that sent or supplied the goods Supplier identity reference Customs Client ID IF KNOWN PARCEL S INFORMATION Please provide the details about the mail reference number country of origin date of export or invoice the weight and number of parcels Mail reference As per the Australia Post Notice you received* Reference MUST BEGIN with N V Q or W Total number of parcel s Weight of parcel s IF KNOWN Kg Country of origin IF KNOWN Date of export or invoice PARCEL S CONTENTS Please provide a description of the goods value of the goods post and insurance costs and the tariff classi cation for the goods Description of the goods Tariff classi cation of the goods one type of goods per line Stat Code A Value of the postage and insurance Value of Goods Quantity Concession optional US Other Please specify Total value of the goods There is additional space over the page if you have more than three different types of goods to declare.

Online application form for th... Revised 11/11VP Form 755STATUTORY DECLARATIONI, of in the State of Victoria, do solemnly and sincerely declare:I acknowledge that this declaration is true and correct and I make it in the belief that

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