Professional legal forms

Blank death certificate bihar... State of Connecticut Department of Public Health Vital Records 6/05;10/1/09 VS-7 APPLICATION FOR STILLBIRTH CERTIFICATE NAME OF STILLBORN. Print the entire name as it currently appears on the fetal

Ct fillable death certificate... STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH (DPH) Request for a Certified Copy of a Death VS-39DTW Revised: 9/6/2011 Certificate from the Town of Death Vital Records Office DO NOT MAIL CASH OR

Chelsea piers certificate of o... D E P A R T M E N T O F C O N S U M E R & R E G U L A T O R Y A F F A I R S Certificate of Occupancy GENERAL INFORMATION A Certificate of Occupancy ( C of O ) does not take the place of any license

Ecampus fiu 2011 form BIRTH Application for Certified Copy of Maryland Birth Record Maryland Department of Health and Mental Hygiene Division of Vital Records BIRTH By my signature below, I state that I am the person I

Delaware certificate of public... Certificate of Public Review Application Kit State of Delaware Delaware Health Resources Board Bureau of Health Planning and Resources Management Delaware Division of Public Health Jesse Cooper 417

Nj certificate public applicat... Mail entire application to NJ Department of Environmental Protection Compliance and Enforcement Office of Local Environmental Management Mail Code 09-01A P. O. Box 420 Trenton New Jersey 08625-0420 Any questions please call Suzanne Conway 609 633-1389 Michael DeTalvo 609 984-6825 or fax 609 292-3991. APPLICATION FOR CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY FOR SOLID WASTE COLLECTION AND/OR DISPOSAL RETURN THIS FORM TO NJDEP County Environmental Waste Enforcement P. Facility must be included in the county s solid waste management plan. UNLESS A-901 HAS BEEN APPROVED AND THE APPLICATION IS ADMINISTRATIVELY COMPLETE YOUR APPLICATION FOR A CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY WILL BE RETURNED. NOTE Do not include a payment with this application The Department of Treasury will send a bill equivalent to one quarter 1/4 of one percent of a company s estimated gross operating revenue. Mail entire application to NJ Department of Environmental Protection Compliance and Enforcement Office of Local Environmental Management Mail Code 09-01A P. TARIFF COVER PAGE 1. Application This Tariff contains the terms and conditions and schedules of rates governing the services furnished by a public utility and holder/applicant of a Certificate of Public Convenience and Necessity for the collection of solid waste. The Utility s principal locating is Company Street Address Mailing Address Company President/Owner Contact Person Telephone Fax Registered Agent Name Address Telephone Fax 2. Territory Served Counties of If you would like to operate in all counties of New Jersey enter All counties of New Jersey By the filing of this Tariff Document the Utility named above agrees to conform with all rules and regulations promulgated by the District Solid Waste Management Plans and the NJ Department of Environmental Protection in accordance with N.J.S.A. CERTIFICATE OF PUBLIC CONVENIENCE NECESSITY APPLICATION CHECKLIST Name Application completed and notarized Questions 8-19 must be answered by both corporations and LLC. Experience per question 30 of application* Copy of N*J*S*A. 13 1E-126 et seq. A-901 approval* Please note that both NJDEP and the Division of Law A-901 Unit must be notified prior to any changes in ownership including change of address owners officers directors and key employees. Itemized list of equipment per question 31 of application* Applicant may apply for Certificate of Public Convenience and Necessity before he/she possesses equipment. For a corporation attach copy of FILED Certificate of Incorporation* 5a* If not incorporated under laws of the State of New Jersey furnish copy of authority to do business in New Jersey and copy of corporate charter. 5b. For Limited Liability Company FILED Certificate of Formation. 5c* If applicable FILED copy of registration of FICTITIOUS/ALTERNATE name. 5d. For proprietorship registration of trade name. Tariff* Statement of financial condition* Proof of Insurance see item 4. Keep copy of entire application* For Solid Waste Facility Certificate landfills incinerators transfer stations only Solid Waste Facility Permit contact Tom Byrne for more information 609 984-6812.

Blank birth certificate pdf tn... TENNESSEE DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS APPLICATION FOR NEW CERTIFICATE OF BIRTH BY SUBSEQUENT MARRIAGE OF PARENTS Read instructions on the back before completing this form. SECTION

Certificate of election to dis... Department of Commerce, Community, and Economic Development Division of Corporations, Business, and Professional Licensing Corporations Section PO Box 110808 Juneau AK 99811-0808 ARTICLES OF INCORPORATION

Medical certificate fillable p... State of Connecticut Human Resources Medical Certificate Return to: Agency Name: Attn: Human Resources Address: Must be submitted within 30 days of foreseeable leave, if leave is FMLA qualifying.

Idaho certificate authority fo... APPLICATION FOR CERTIFICATE OF AUTHORITY For Profit Click here to clear form Instructions on Back of Application The undersigned Corporation applies for a Certificate of Authority and states as follows 1. The name of the corporation is 2. The name which it shall use in Idaho is 3. It is incorporated under the laws of 4. APPLICATION FOR CERTIFICATE OF AUTHORITY For Profit Click here to clear form Instructions on Back of Application The undersigned Corporation applies for a Certificate of Authority and states as follows 1. The name of the corporation is 2. The name which it shall use in Idaho is 3. It is incorporated under the laws of 4. Its date of incorporation is 5. The address of its principal office is 6. The address to which correspondence should be addressed if different from item 5 is 7. The street address of its registered office in Idaho is and its registered agent in Idaho at that address is 8. The names and respective business addresses of its directors and officers are Title Office Name Address Business Address Customer Acct Dated if using pre-paid account Typed Name Capacity The signer must be a director or an officer of the corporation* g corp forms corp forms appforcertofauthorityprofit. pmd Revised 06/2005 Secretary of State use only Signature Web Form INSTRUCTIONS If the document is incorrect is there a telephone number to reach you for corrections Note Complete and submit the application in duplicate. This application must be accompanied by a certificate of existence or goodstanding dated within 90 days from the date of filing with this office. A certified copy of the articles of incorporation or a certificate of tax status will NOT be accepted* 1. Lines 1 2 - Enter the name of the corporation exactly as it reads from the certificate of existence from the domestic state. Complete item 2 only if 1 the corporation must adopt a fictitious name to avoid a conflict with an existing name on the records of the Secretary of State or 2 the corporation s true name does not include one of the words of incorporation required by section 30-1-401 Idaho Code and such word is added to the true name in item 2. A corporate name must include corporation incorporated company limited or any abbreviation thereof* If a fictitious name is adopted to avoid a conflict attach a resolution of the board of directors adopting the assumed name. 2. Lines 3 4 - Enter the domestic state and its date of incorporation* You must include the day month and year. This date must match the date on the certificate of existence if one is given* 3. Line 5 - Enter the address of its principal office. designated to receive service of process upon litigation* This person must be located in Idaho at a street address. If you do not have anyone to act as your registered agent in Idaho you may contact the Secretary of State for a list of companies which offer such representation in Idaho. president secretary and directors. 7. Sign and date the application* Please identify the name of the signer by typing his/her name below the signature and indicate in what capacity they are signing.

Louisiana birth certificate on... STATE OF LOUISIANA ACKNOWLEDGMENT OF PATERNITY AFFIDAVIT CHILD BORN OUTSIDE OF MARRIAGE (FOR USE IN HOSPITAL) NOTICE: You must read and initial the NOTICE OF ALTERNATIVES, RIGHTS AND RESPONSIBILITIES

Louisiana resale certificate r... State of Louisiana Department of Revenue and Taxation P. O. Box 201 Baton Rouge LA 70821-0201 Form LGST 9-A R-1079 9/95 Resale Certificate Foreign Purchaser Under Louisiana General Sales Tax Law Date Purchaser Address City state ZIP Sales Tax Number This certifies that all tangible personal property purchased by the above-named purchaser from Name of dealer making sale is to be transported beyond the territorial limits of the state of Louisiana to be resold or further processed into new articles for sale at retail and is therefore exempt under the provisions of Chapter 2 of Title 47 of the Louisiana Revised Statutes of 1950. Purchaser hereby agrees that should this sale be later held subject to tax purchaser assumes full liability for the tax. Signature Title Telephone Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property or services purchased as above stated is subject to all the penalties provided for by Title 47 of the Louisiana Revised Statutes of 1950. If purchaser is registered under the Sales Tax Law of the state of purchaser s domicile enter registration certificate number. If state of purchaser s domicile requires no sales tax registration enter wholesale license number retail license number or manufacturer s license number whichever is appropriate. Indicate whether number is that of sales tax registration certificate or a wholesale retail or manufacturer s license number. Purchaser hereby agrees that should this sale be later held subject to tax purchaser assumes full liability for the tax. Signature Title Telephone Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property or services purchased as above stated is subject to all the penalties provided for by Title 47 of the Louisiana Revised Statutes of 1950. Signature Title Telephone Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property or services purchased as above stated is subject to all the penalties provided for by Title 47 of the Louisiana Revised Statutes of 1950. If purchaser is registered under the Sales Tax Law of the state of purchaser s domicile enter registration certificate number. If purchaser is registered under the Sales Tax Law of the state of purchaser s domicile enter registration certificate number. If state of purchaser s domicile requires no sales tax registration enter wholesale license number retail license number or manufacturer s license number whichever is appropriate. If state of purchaser s domicile requires no sales tax registration enter wholesale license number retail license number or manufacturer s license number whichever is appropriate. Indicate whether number is that of sales tax registration certificate or a wholesale retail or manufacturer s license number. Purchaser hereby agrees that should this sale be later held subject to tax purchaser assumes full liability for the tax. Signature Title Telephone Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property or services purchased as above stated is subject to all the penalties provided for by Title 47 of the Louisiana Revised Statutes of 1950. If purchaser is registered under the Sales Tax Law of the state of purchaser s domicile enter registration certificate number.

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