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Canada firearms declaration fo... This declaration form you may use the form again. If you are returning to Canada with different firearms you may still use the declaration form however please obtain and complete a new copy of the Non-Resident Firearm Declaration - Continuation Sheet RCMP GRC 5590 / CAFC 910 to declare the firearms you wish to import. Cfc-cafc.gc.ca. 5. Please complete a copy of the Non-Resident Firearm Declaration and if required the Non-Resident Firearm Declaration - Continuation Sheet and provide them both to the Canada Border Services Agency or to a customs officer upon entry into Canada. A - PERSONAL INFORMATION 1. INSTRUCTION SHEET NON-RESIDENT FIREARM DECLARATION GENERAL INFORMATION FEUILLE D INSTRUCTIONS D CLARATION D ARMES FEU RENSEIGNEMENTS G N RAUX 1. Cases 5a b et c - Vous devez nommer une pi ce d identit. Il doit s agir d une pi ce d identit officielle avec photo d livr e par un gouvernement f d ral provincial d un tat territorial r gional ou municipal. Cette pi ce d identit doit porter un num ro et votre photo. B - FIREARMS B - ARMES FEU Box 7 - Print the number of firearms you are declaring in the space provided. If you are declaring more than 3 firearms please complete and attach a Non-Resident Firearm Declaration - Continuation Sheet RCMP GRC 5590 / CAFC 910. If you need a continuation sheet you can call us at either 1 800 731-4000 in Canada and the USA or at 506 624-5380 outside available at any Canada Border Services Agency office. Print clearly and use a ballpoint pen. 2. Do not write in the shaded areas. 3. Read the back of the firearm declaration for more information on your rights and responsibilities under the Firearms Act. 4. If you have any questions about filling out this declaration please call 1 800 731-4000 in Canada and the USA 506 624-5380 outside Canada and the USA or visit our web site at http //www. -U. ou au 506 624-5380 ailleurs ou visitez notre site Web Note You cannot enter Canada with a restricted firearm without an ATT. Nota Vous ne pouvez pas entrer au Canada avec une arme feu autorisation restreinte si vous n avez pas d AT. C - DECLARATION Read the declaration and sign with your full name. D - CONFIRMATION Lisez la d claration et signez votre nom au complet. Exemple 1 er juillet 1960 s crit 1960/07/01. Box 4 - ADDRESS TYPE Case 4 - TYPE D ADRESSE If you are staying in Canada for 60 days or less provide the address of your residence outside Canada. Si vous demeurez au Canada pendant 60 jours ou moins fournissez votre adresse r sidentielle l ext rieur du Canada. where you will be staying while in Canada. l adresse o vous habiterez pendant votre s jour au Canada. Box 4a - If you don t have a street name and number please indicate the land location of your residence by including the rural road site compartment section lot or concession. Case 4a - Si vous n avez ni nom ni num ro de rue veuillez indiquer l emplacement de la propri t y compris la route rurale l emplacement la subdivision le num ro de lot ou de concession. Boxes 5a b and c - You are required to name one piece of photo identification. It must be an official piece of identification issued by a federal provincial state territorial regional or city government and it must have a number and bear your photograph. Cases 5a b et c - Vous devez nommer une pi ce d identit. Il doit s agir d une pi ce d identit officielle avec photo d livr e par un gouvernement f d ral provincial d un tat territorial r gional ou municipal. Cette pi ce d identit doit porter un num ro et votre photo. B - FIREARMS B - ARMES FEU Box 7 - Print the number of firearms you are declaring in the space provided. If you are declaring more than 3 firearms please complete and attach a Non-Resident Firearm Declaration - Continuation Sheet RCMP GRC 5590 / CAFC 910.

Customs declaration form canad... Gc.ca. Date of birth YY - MM - DD Fold along line and detach All travellers must be identified on a Canada Border Services Agency CBSA Declaration Card. Declaration Card For Agency Use Only U.S. V OV Cr PAX R Instructions Under the law failure to properly declare goods currency and/or monetary instruments brought into Canada may result in seizure action monetary penalties and/or criminal prosecution. Information from this declaration will be used for CBSA control purposes and may be shared with other government departments to enforce Canadian laws. For more information see Info Source ref* no. CBSA PPU 018 at a public library or visit http //infosource. You may list up to four people living at the same address on one card. Each traveller is responsible for his or her own declaration* Each traveller is responsible for reporting totaling CAN 10 000 or more that are in his or her actual possession or baggage. O Part A All travellers living at the same address Please print in capital letters. Last name first name and initials Y M D Citizenship HOME ADDRESS Number street apartment No* Prov*/State Part B Visitors to Canada City/Town Postal/Zip code Country The following duty-free allowances apply to each visitor entering into Canada Arriving by Gifts excludes alcohol and tobacco valued at no more than CAN 60 each. Each resident returning to Canada is entitled to one of the following personal exemptions based on his/her time absent from Canada include all goods and/or gifts purchased or received abroad Alcohol and tobacco exemption table 1. 5 L of wine or 1. 14 L of liquor or 24 x 355 ml cans or bottles 8. 5 L of beer or ale. You must be of legal age in the province of importation* 200 cigarettes 200 tobacco sticks 50 cigars or cigarillos and 200 grams of manufactured tobacco Special Duty may apply. Yes No I/we have unaccompanied goods. CAN 800 This includes alcohol and tobacco see table below and unaccompanied goods. Meat/meat products dairy products fruits vegetables seeds nuts plants and animals or their parts/products cut flowers soil wood/wood products birds insects. CAN 10 000 or more. Part C Residents of Canada 7 days Commercial goods whether or not for resale e*g* samples tools equipment. Other country via U*S* I am/we are bringing into Canada Firearms or other weapons e*g* switchblades Mace or pepper spray. 48 hours CAN 800 Business ale. Not claimable if goods exceed CAN 200. U*S* only Personal Arriving from Purpose of trip Study Air Rail Marine Highway Airline/flight No* train No* or vessel name I/we have visited a farm and will be going to a farm in Canada* Duration of stay in Canada Do you or any person listed above exceed the duty-free allowances per person See instructions on the left. Complete in the same order as Part A Value of goods CAN purchased or received abroad Date left Canada including gifts alcohol tobacco Part D Signatures age 16 and older I certify that my declaration is true and complete. You may list up to four people living at the same address on one card. Each traveller is responsible for his or her own declaration* Each traveller is responsible for reporting totaling CAN 10 000 or more that are in his or her actual possession or baggage. O Part A All travellers living at the same address Please print in capital letters. Last name first name and initials Y M D Citizenship HOME ADDRESS Number street apartment No* Prov*/State Part B Visitors to Canada City/Town Postal/Zip code Country The following duty-free allowances apply to each visitor entering into Canada Arriving by Gifts excludes alcohol and tobacco valued at no more than CAN 60 each.

Bc hydro declaration form The attached Declaration must be submitted to BC Hydro before applying for energization. The following summarizes BC Hydro requirements with respect to overhead services and meters. Any errors omissions deficiencies or false information to the above declaration at the time of connection will result in a call-back charge and work being suspended. I AM THE PERMIT HOLDER AND AGREE TO BE RESPONSIBLE FOR AND HEREBY CERTIFY THAT THE SERVICE ENTRANCE HAS BEEN INSTALLED TO COMPLY WITH BC HYDRO REQUIREMENTS. Signature of Permit Holder Print Name Date Page 3. Com OVERHEAD ELECTRICAL SERVICE DECLARATION New BC Hydro Reference No. Contractor Phone No. Work-With Electrical Permit No. Electrical Contractor Cell Service Address Lot No. City Postal Code Note The owner must apply for service by calling 1-877-520-1355 before service at this location can be scheduled for energization. Owner s Phone No. Name of Owner SITE PLAN SERVICE CHARACTERISTICS Pole ID 120/240 volts amps Mainswitch bus rating if multiple meter base The pole identification number is found on a yellow or gray rectangular tag located on the pole approximately 6 feet from the ground. RESERVED IN-SERVICE DATE WILL NOT BE HONOURED UNLESS ALL INFORMATION IS COMPLETE. ANY DEFICIENCIES/DISCREPANCIES AT THE TIME OF CONNECTION WILL RESULT IN A CALL-BACK CHARGE. Overhead Residential Services Reference Guide Declaration Revised December 2012 Page 1 METER INFORMATION - GENERAL Only one service connection or supply service per the Canadian Electrical Code will be provided to a residential dwelling. Typically the number of meters installed for various types of dwellings are as noted to the right. A maximum of four socket meters connected to one supply service are allowed to be installed. BC Hydro s tariff definition of a single family dwelling SFD is a self contained unit including sleeping quarters a kitchen a bathroom or alternative living quarters acceptable to BC Hydro. Enter all numbers from the tag on the above line. Heat Source ELEC if ELEC complete below Gas Oil Other List total load for each of the following as applicable 1 ELEC Baseboard kW 2 ELEC Forced Air Furnace kW 3 ELEC Hot Water on Demand kW 4 Heat Pump kW Total Service wire length to pole m Service Entrance height from ground Please indicate - North arrow - Streets lanes lot number - Building in relation to your property lines - Closest BC Hydro pole s DESCRIBE SERVICE LOCATION 1 Service from pole is on same side 2 Of the Street OR is on the opposite side OR Lane Service Requirements for Overhead Residential Services The new electrical service connection point is in accordance with the Reference Guide see page 1 The meter base location is in accordance with the Reference Guide The proposed service wires have the required minimum height clearance in as per the Reference Guide Trees on private and/or public property adjacent to the proposed service wire path have been trimmed in accordance with the Reference Guide The service address is affixed to the house or posted at driveway The main switch is to be in the OFF position after request for energization has been made 1. This declaration does not constitute an authorization for connection. An Electrical Safety Act Contractor Authorization Form must be received before an order for connection is released. 2.

Cs 909 form 194218 STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF CHILD SUPPORT SERVICES DECLARATION OF PATERNITY NOTICE CS 909 12/08 IMPORTANT NOTICE TO UNMARRIED PARENTS If the parents of the child are not legally married the father s name will not be added to the birth certificate unless you 1 sign a Declaration of Paternity in the hospital or 2 sign the form later or 3 legally establish paternity through the courts and pay a fee to amend the birth certificate. WHAT IS THE PURPOSE OF A DECLARATION OF PATERNITY A Declaration of Paternity form is used to legally establish the paternity the father of a child when the mother and father are not married to each other. It should be signed by the biological mother only if she is not married* It may be signed by the biological father regardless of his marital status. Signing this form is voluntary. If any part of this form does not make sense to you talk to your Local Child Support Agency or a lawyer before signing the form* HOW WILL YOU AND YOUR CHILD BENEFIT IF YOU SIGN THIS FORM When both parents sign this form it will Legally establish a parent-child relationship between the biological father and the child. Your child has the right to know his or her mother and father and to benefit from a relationship with both parents. Allow the father s name to be added to the birth certificate. Your child will benefit by having both of your names appear on his or her birth certificate. If the form is signed after the child s birth certificate is prepared there will be a fee to amend the birth certificate to add the father s name. to seek child custody and visitation through a court action and to be consulted about the adoption of the child. Make it easier for your child to learn the medical histories of both parents to benefit from the father s health care coverage and to receive Social Security or Veterans dependent or survivor s benefits if eligible. WHAT DOES IT MEAN IF YOU SIGN A DECLARATION OF PATERNITY A correctly completed and signed Declaration of Paternity filed with the California Department of Child Support Services will have the same effect as a court order establishing paternity for the child. If your child does not live with you and a court action is filed you may be ordered by the court to pay child support. A court action must be filed to deal with the issues of custody visitation or child support. By signing this declaration you are by your choice giving up all of the following rights as they relate to paternity establishment the right to a trial in court to decide the issue of paternity to notice of any hearing on the issue of paternity to have the opportunity to present your case to the court including the right to present and cross examine witnesses to have an attorney represent you or to have an attorney appointed to represent you if you cannot afford one in an action filed by the Local Child Support Agency. genetic tests that prove the man is not the biological father. It also may be overturned if the father or mother is able to prove that he/she signed the form because of fraud duress or material mistake of fact.

Plant and plant product declar... 5 hours per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information. Plant and Plant Product Declaration Form SECTION 1 - Shipment Information 1. If the percentage of recycled material varies enter the average percentage of recycled material used in the product example If the percentage of recycled material used is b...

Gspd 05 form Solicitation Number State of California Department of General Services Procurement Division GSPD 05 105 REV 08/09 BIDDER DECLARATION Prime bidder information Review attached Bidder Declaration Instructions prior to completion of this form a. Identify current California certification s MB SB NVSA DVBE or None If None go to Item 2 b. Otherwise list all subcontractors for this contract. Attach additional pages if necessary Subcontractor Name Contact Person Phone Number Fax Number Email Address CA Certification MB SB NVSA DVBE or None Work performed or goods provided for this contract Corresponding of bid price Good Standing Rental Page of All prime bidders the firm submitting the bid must complete the Bidder Declaration. 2. Will subcontractors be used for this contract Yes No If yes indicate the distinct element of work your firm will perform in this contract e*g* list the proposed products produced by your firm state if your firm owns the transportation vehicles that will deliver the products to the State identify which solicited services your firm will perform etc*. Use additional sheets as necessary. c* If you are a California certified DVBE 1 Are you a broker or agent Yes No 2 If the contract includes equipment rental does your company own at least 51 of the equipment provided in this contract quantity and value Yes No N/A If no subcontractors will be used skip to certification below. continued Column Labels 1. a* Identify all current certifications issued by the State of California* If the prime bidder has no California certification s check the line labeled None and proceed to Item 2. If the prime bidder possesses one or more of the following certifications enter the applicable certification s on the line Microbusiness MB Small Business SB Nonprofit Veteran Service Agency NVSA Disabled Veteran Business Enterprise DVBE subcontractors. California certification s verify on this website www. eprocure. pd. dgs. ca*gov. in the contract to be performed or the goods to be provided by each subcontractor. Certified subcontractors must provide a commercially useful function for the contract. See paragraph 1. b above for code citations regarding the definition of commercially useful function* If a certified subcontractor is further subcontracting a greater portion of the work or goods provided for the resulting contract than would be expected by normal industry practices attach a separate sheet of paper explaining the situation* and/or services to be provided by each subcontractor. Do not enter a dollar amount. Good Standing Provide a response for each subcontractor listed* Enter either Yes or No to indicate that the prime bidder has verified that the subcontractor s is in good standing for all of the following 1. b. Mark either Yes or No to identify whether subcontractors will be used for the contract. If the response is No proceed to Item 1. c* If Yes enter on the line the distinct element of work contained in the contract to be performed or the goods to be provided by the prime bidder.

Declaration regarding notice f... ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, AND ADDRESS): FOR COURT USE ONLY BAR NO: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE Street Address: Mailing Address: City &

Declaration concerning debtors... B6 Declaration (Official Form 6 - Declaration) (12/07) In re , Debtor Case No. (if known) DECLARATION CONCERNING DEBTOR'S SCHEDULES DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR I declare

California license and certifi... ACCORDANCE WITH THE LAWS OF THE STATE OF CALIFORNIA AS INDICATED BELOW. 26A. DATE OF ... OF VITAL RECORDS. VS-116 (01/01/ 2010) ... The completion of all items requested on this form is mandatory.

50 244 dealeramp39s motor vehi... CONFIDENTIAL Dealer's Motor Vehicle Inventory Declaration Year Form 50-244 P r o p e r t y Ta x Send Original to: Appraisal District Name and Address Send Copy to: County Tax Office and Address Phone

Declaration value form STATE OF NEVADA DECLARATION OF VALUE FORM 1. Assessor Parcel Number s a 2. Type of Property a Vacant Land b Single Fam. Res. FOR RECORDER S OPTIONAL USE ONLY c Condo/Twnhse d 2-4 Plex Book Page e Apt. Bldg f Comm l/Ind l Date of Recording g Agricultural h Mobile Home Notes Other 3. Total Value/Sales Price of Property Deed in Lieu of Foreclosure Only value of property Transfer Tax Value Real Property Transfer Tax Due 4. If Exemption Claimed a* Transfer Tax Exemption per NRS 375. 090 Section b. Explain Reason for Exemption 5. Partial Interest Percentage being transferred The undersigned declares and acknowledges under penalty of perjury pursuant to NRS 375. 060 and NRS 375. 110 that the information provided is correct to the best of their information and belief and can be supported by documentation if called upon to substantiate the information provided herein* Furthermore the parties agree that disallowance of any claimed exemption or other determination of additional tax due may result in a penalty of 10 of the tax due plus interest at 1 per month. Pursuant to NRS 375. 030 the Buyer and Seller shall be jointly and severally liable for any additional amount owed* Signature Capacity SELLER GRANTOR INFORMATION REQUIRED Print Name Address City State Zip BUYER GRANTEE INFORMATION COMPANY/PERSON REQUESTING RECORDING required if not seller or buyer Escrow AS A PUBLIC RECORD THIS FORM MAY BE RECORDED/MICROFILMED. Bldg f Comm l/Ind l Date of Recording g Agricultural h Mobile Home Notes Other 3. Total Value/Sales Price of Property Deed in Lieu of Foreclosure Only value of property Transfer Tax Value Real Property Transfer Tax Due 4. If Exemption Claimed a* Transfer Tax Exemption per NRS 375. 090 Section b. Explain Reason for Exemption 5. If Exemption Claimed a* Transfer Tax Exemption per NRS 375. 090 Section b. Explain Reason for Exemption 5. Partial Interest Percentage being transferred The undersigned declares and acknowledges under penalty of perjury pursuant to NRS 375. Partial Interest Percentage being transferred The undersigned declares and acknowledges under penalty of perjury pursuant to NRS 375. 060 and NRS 375. 110 that the information provided is correct to the best of their information and belief and can be supported by documentation if called upon to substantiate the information provided herein* Furthermore the parties agree that disallowance of any claimed exemption or other determination of additional tax due may result in a penalty of 10 of the tax due plus interest at 1 per month. 060 and NRS 375. 110 that the information provided is correct to the best of their information and belief and can be supported by documentation if called upon to substantiate the information provided herein* Furthermore the parties agree that disallowance of any claimed exemption or other determination of additional tax due may result in a penalty of 10 of the tax due plus interest at 1 per month. Pursuant to NRS 375. 030 the Buyer and Seller shall be jointly and severally liable for any additional amount owed* Signature Capacity SELLER GRANTOR INFORMATION REQUIRED Print Name Address City State Zip BUYER GRANTEE INFORMATION COMPANY/PERSON REQUESTING RECORDING required if not seller or buyer Escrow AS A PUBLIC RECORD THIS FORM MAY BE RECORDED/MICROFILMED.

Gc 335 form GC-335 ATTORNEY OR PARTY WITHOUT ATTORNEY Name State Bar number and address FOR COURT USE ONLY FAX NO. Date TYPE OR PRINT NAME SIGNATURE OF DECLARANT Page 1 of Form Adopted for Mandatory Use Judicial Council of California GC-335 Rev. January 1 2004 Probate Code 811 813 1801 1825 1881 1910 2356. Optional TELEPHONE NO. E-MAIL ADDRESS Optional ATTORNEY FOR Name SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME CONSERVATORSHIP OF THE PERSON CONSERVATEE ESTATE OF Name PROPOSED CONSERVATEE CASE NUMBER CAPACITY DECLARATION CONSERVATORSHIP TO PHYSICIAN PSYCHOLOGIST OR RELIGIOUS HEALING PRACTITIONER The purpose of this form is to enable the court to determine whether the proposed conservatee check all that apply is able to attend a court hearing to determine whether a conservator should be appointed to care for him or her. The court A. Complete item 5 sign and file page 1 of this form* hearing is set for date has the capacity to give informed consent to medical treatment. Complete items 6 through 8 sign page 3 and file pages 1 B. through 3 of this form* has dementia and if so 1 whether he or she needs to be placed in a secured-perimeter residential care facility for the C. elderly and 2 whether he or she needs or would benefit from dementia medications. Complete items 6 and 8 of this form and form GC-335A sign and attach form GC-335A. File pages 1 through 3 of this form and form GC-335A. If more than one item is checked above sign the last applicable page of this form or form GC-335A if item C is checked* File page 1 through the last applicable page of this form also file form GC-335A if item C is checked* COMPLETE ITEMS 1 4 OF THIS FORM IN ALL CASES* GENERAL INFORMATION 1. Name 2. Office address and telephone number 3. I am a*. physician psychologist acting within the scope of my licensure a California licensed with at least two years experience in diagnosing dementia* b. an accredited practitioner of a religion whose tenets and practices call for reliance on prayer alone for healing which religion is adhered to by the proposed conservatee. The proposed conservatee is under my treatment. Religious practitioner may make the determination under item 5 ONLY. 4. Proposed conservatee name a* I last saw the proposed conservatee on date b. The proposed conservatee is is NOT a patient under my continuing treatment. ABILITY TO ATTEND COURT HEARING 5. A court hearing on the petition for appointment of a conservator is set for the date indicated in item A above. Complete a or b. Because of medical inability the proposed conservatee is NOT able to attend the court hearing check all items below that apply on the date set see date in box in item A above. for the foreseeable future. until date and state the facts in Attachment 5 Supporting facts State facts in the space below or check this box I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 5 ESTATE OF Name 6. EVALUATION OF PROPOSED CONSERVATEE S MENTAL FUNCTIONS Note to practitioner This form is not a rating scale.

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