ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or;

Size: px
Start display at page:

Download "ATTENTION. This Sales and Use Tax Exemption Certificate Application is for: 1. FIRST TIME sales and use exemption certificate filers or;"

Transcription

1 ATTENTION This Sales and Use Tax Exemptin Certificate Applicatin is fr: 1. FIRST TIME sales and use exemptin certificate filers r; 2. Organizatins hlding a card with expiratin date f 2012 r earlier. 3. This frm is nly fr a nnprfit rganizatin, if yu are nt a nnprfit rganizatin and want t apply fr a resale certificate, yu must have a valid Maryland sales and use tax license. T apply fr ne, yu must cmplete the Cmbined Registratin Applicatin, nline here: r by paper applicatin. Fr the paper applicatin r mre infrmatin abut resale certificates please visit If yur rganizatin is RENEWING its sales and use tax exemptin certificate that expires September 30, then yur rganizatin must apply fr the renewal f the sales and use tax exemptin certificate.

2 SALES AND USE TAX EXEMPTION CERTIFICATE All applicants must cmplete this page and Schedules A thrugh D. Applicants that are churches hlding wrship services r ther religius rganizatins hlding wrship services must als cmplete Schedule E. Failure t cmplete all required fields and schedules will result in the applicatin being returned. 1. Federal Emplyer Identificatin Number () (9 digits) (See instructins) 2. Full legal name f rganizatin 3. Street Address f physical business lcatin (PO Bx nt acceptable) City Cunty State ZIP cde +4 Telephne number Fax number address 4. Mailing Address (PO Bx acceptable) City State ZIP cde +4 5a. Please cmplete fr authrized fficer respnsible fr taxes. (Required). An Authrized Officer is a persn frmally empwered by a business entity t cnduct business n its behalf, r a persn wh can act in an fficial capacity n behalf f the rganizatin, such as an executive directr, CEO, CFO, COO, president, secretary, treasurer, deacn, elder, pastr r any ther fficer specified by the rules f peratin, Articles f Incrpratin r Bylaws. Last Name First Name Scial Security Number (REQUIRED) Title Hme Telephne Hme address City State ZIP 5b. Identify secnd crprate fficer, trustee r member f rganizatin (must be different frm individual listed in 5a). (Required). Last Name First Name Scial Security Number (REQUIRED) Title Hme Telephne Hme address City State ZIP 6. Describe the nnprfit business activity r service f the rganizatin that generates revenue. 7. Are yu a nn-prfit rganizatin exempt under Sectin 501(c)(3) f the Internal Revenue Cde? Yes N If n, Sectin (c) ( ) r Other: Sectin. 8. Des the business have any physical lcatins in Maryland? Yes N (D nt cunt client sites r ff site prjects that will last less than ne year.) Under penalties f perjury, I declare that I have examined this applicatin and t the best f my knwledge and belief it is true, crrect and cmplete. Check here if a pwer f attrney frm is attached. * Print Name Title Signature** Date Name f Preparer ther than applicant Telephne number address * Beginning January 1,, The Cmptrller s Office will nly accept the Maryland Frm 548 (Pwer f Attrney). This frm will nt replace a Durable Pwer f Attrney r any ther Pwer f Attrney Frm authrized by Maryland Law. ** If the business is a crpratin, an fficer f the crpratin authrized t sign n behalf f the crpratin must sign; if a partnership, ne partner must sign; if an unincrprated assciatin, ne member must sign; if a sle prprietrship, the prprietr must sign. (The signature f any ther persn will nt be accepted unless a pwer f attrney is attached.).

3 Organizatin name SCHEDULE A Generally, under Maryland law, if yu apply fr a Maryland sales and use tax exemptin certificate as a religius, educatinal, r charitable rganizatin, yu must be qualified under Internal Revenue Cde (IRC) 501(c)(3). Attach yur rganizatin s Internal Revenue Service issued IRC 501(c)(3) determinatin letter. (D NOT send yur letter, but a cpy f yur rganizatin s IRS determinatin letter.) Organizatins Using Grup Exemptins: If yu are cvered under a grup exemptin, yu must attach a cpy f the Internal Revenue Service issued IRC 501(c)(3) determinatin letter fr yur parent rganizatin and a letter n letterhead frm the hlder f the grup exemptin that yu are cvered under that grup number (the letter must be signed by an authrized fficer f the parent rganizatin) r current directry, such as the Cathlic directry. Veteran s Organizatins: Attach yur Internal Revenue Service IRC 501(c)(4) r IRC 501(c)(19) letter.

4 Organizatin name SCHEDULE B Attach Articles f Incrpratin and any amendments. Include all name change amendments, if any. All Articles f Incrpratin must be signed. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin.

5 Organizatin name SCHEDULE C Attach Bylaws and any amendments. These must be signed if signature blck is prvided. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin.

6 Organizatin name SCHEDULE D Fr Organizatins Physically Lcated in Maryland Yu may be required t register as a nn-stck r religius rganizatin and be in gd standing with the Maryland State Department f Assessments and Taxatin (SDAT), pursuant t Title 5 f the Crpratins and Assciatins Article. If s, yur applicatin cannt be prcessed until yu are in gd standing. The standing f yur rganizatin may be cnfirmed n SDAT s nline business database which can be accessed at: Yu must attach a letter f gd standing issued by SDAT r a printut frm the SDAT nline database indicating the rganizatin is in gd standing. Nte the printut is free f charge. Fr Organizatins Physically Lcated in Delaware Yu must attach a certificate f gd standing frm the Delaware Divisin f Crpratins. Fr Organizatins Physically Lcated in Pennsylvania Yu must attach a certificate f gd standing frm the Pennsylvania Department f State. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Pennsylvania. Fr Organizatins Physically Lcated in Virginia Yu must attach a certificate f gd standing frm the Virginia State Crpratin Cmmissin. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Virginia. Fr Organizatins Physically Lcated in West Virginia Yu must attach a certificate f gd standing frm the West Virginia Secretary f State. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm West Virginia. Fr Organizatins Physically Lcated in Washingtn, D.C. Yu must attach a certificate f gd standing frm the District f Clumbia Department f Cnsumer and Regulatry Affairs. Yu must attach yur rganizatin s sales and use tax exemptin certificate frm Washingtn, D.C.

7 Organizatin name SCHEDULE E If yur rganizatin is a church that hlds wrship services r ther religius rganizatin that hlds wrship services, yu must cmplete Schedule E. Submit a cpy f the rental/lease agreement and yur latest wrship bulletin fr the lcatin f yur wrship services if yur physical address n the applicatin is nt the wrship lcatin and yu rent/lease a separate lcatin. If yu wrship ut f a persnal residence, yu must attach an agreement frm yur lcal cunty zning bard r cunty regulatin which allws fr a hme church.

8 Organizatin name Instructins Qualifying rganizatins must cmplete Maryland Sales and Use Tax Exemptin Certificate Applicatin ( Applicatin) and attach the required dcuments t the crrespnding schedules. The Applicatin and applicable schedules must be cmpleted in their entirety fr the applicatin t be prcessed. Generally, under Maryland law, if yu apply fr a Maryland Sales and Use Tax Exemptin Certificate as a religius, educatinal, r charitable rganizatin, yu must be qualified under Internal Revenue Cde (IRC) Sectin 501(c)(3). Yu als must perate yur rganizatin ut f physical business lcatin in Maryland, Delaware, Pennsylvania, Virginia, Washingtn, D.C. r West Virginia. Maryland law prvides that yu must be in Maryland r ne f these adjacent jurisdictins t qualify. Other states DO NOT qualify and yur applicatin will be denied. Frm All fields must be cmpleted. Enter the Federal Emplyer Identificatin Number () f the applicant n line 1. A is required by: all crpratins, LLCs, partnerships, nnprfit rganizatins, and sle prprietrships wh pay wages t ne r mre emplyees. A sle prprietrship with n emplyees, ther than self, is nt required t have a. If yu d nt have a, ne can be btained by visiting the IRS at Fr the purpses f cmpleting line 5a, an Authrized Officer is a persn frmally empwered by a business entity t cnduct business n its behalf, r a persn wh can act in an fficial capacity n behalf f the rganizatin, such as an executive directr, CEO, CFO, COO, president, secretary, treasurer, deacn, elder, pastr r any ther fficer specified by the rules f peratin, Articles f Incrpratin r Bylaws. Schedule A: Attach yur rganizatin s Internal Revenue Service issued IRC 501(c)(3) determinatin letter. (D NOT send yur letter, but a cpy f the IRS determinatin letter fr yur rganizatin.) Organizatins Using Grup Exemptins: If yu are cvered under a grup exemptin, yu must attach a cpy f the Internal Revenue Service issued IRC 501(c)(3) determinatin letter fr yur parent rganizatin and a letter n letterhead frm the hlder f the grup exemptin that yu are cvered under that grup number (the letter must be signed by an authrized fficer f the parent rganizatin) r current directry, such as the Cathlic directry. Schedule B: Attach Articles f Incrpratin and any amendments. Include all name change amendments, if any. All Articles must be signed. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin. Schedule C: Attach Bylaws and any amendments. These must be signed if signature blck is prvided. The Articles f Incrpratin r Bylaws must cntain a disslutin clause that prvides fr distributin f assets upn disslutin fr exempt purpses cnfrming t IRS rules. Please indicate the disslutin clause by tabbing r highlighting the sectin. Schedule D: Fr rganizatins lcated in Maryland, yu may be required t register as a nn-stck r religius rganizatin and be in gd standing with the Maryland State Department f Assessments and Taxatin (SDAT), under Title 5 f the Crpratins and Assciatins Article. Yur applicatin will nt be prcessed until yu are in gd standing. Fr rganizatins lcated in Delaware, yu must attach a certificate f gd standing t the Delaware Divisin f Crpratins. Fr rganizatins physically lcated in Pennsylvania, Virginia, West Virginia, r Washingtn, D.C., yu must attach the sales and use tax exemptin certificate frm the hme state f the rganizatin and a letter f gd standing frm the hme state f the rganizatin. Schedule E: If yur rganizatin is a church that hlds wrship services r ther religius rganizatin that hlds wrship services, yu must cmplete Schedule E. Submit a cpy f the rental/lease agreement fr the lcatin f yur wrship services if yur physical address n the applicatin is nt the wrship lcatin and yu rent/lease a separate lcatin. If yu wrship ut f a persnal residence, yu must attach an agreement frm yur lcal cunty zning bard r cunty regulatin which allws fr a hme church. Veterans Organizatins: Yu must submit the cmpleted Applicatin, Schedule A, and submit a certificate f gd standing under Schedule D if the rganizatin is registered with the Maryland Department f Assessments and Taxatin. Please cntact with questins regarding the Applicatin. Please allw six t eight weeks fr the initial review f the applicatin. If additinal infrmatin is required, ur ffice will cntact yu. If apprved, yu will receive yur certificate by U.S. mail. Legal Sectin - Cmptrller f Maryland Revenue Administratin Center 110 Carrll Street Annaplis, MD 21411

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION

PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION PROCESS FOR NATIONAL CAPITOL AREA GARDEN DISTRICTS, CLUBS AND COUNCILS CHOOSING TO FILE FOR 501(C)3 GROUP EXEMPTION What is a grup exemptin letter? The IRS smetimes recgnizes a grup f rganizatins as tax-exempt

More information

VA Mortgage Lender License New Application Checklist (Company)

VA Mortgage Lender License New Application Checklist (Company) VA Mrtgage Lender License New Applicatin Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin License Fees Requirements Cmpleted in Requirements/Dcuments Upladed in Requirements Submitted Outside f

More information

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS

MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS Seattle, Washingtn 98101 MICRO GROUP EMPLOYER DOCUMENTATION REQUIREMENTS D nt cancel any existing plicies until yu receive cnfirmatin f final rates and/r acceptance f the grup by Regence BlueShield (Regence).

More information

MD Collection Agency License Amendment Checklist (Company)

MD Collection Agency License Amendment Checklist (Company) MD Cllectin Agency License Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require

More information

Minnesota VOTER REGISTRATION

Minnesota VOTER REGISTRATION Minnesta VOTER REGISTRATION These resurces are current as f 12/1/18. We d ur best t peridically update these resurces and welcme any cmments r questins regarding new develpments in the law. Please email

More information

MD Sales Finance License Amendment Checklist (Company)

MD Sales Finance License Amendment Checklist (Company) Amendment Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin Amendments GENERAL INFORMATION Instructins Maryland Cmmissiner f Financial Regulatin (MD) Agency des nt require advance ntice fr any changes;

More information

Certification of Beneficial Owner(s)

Certification of Beneficial Owner(s) Certificatin f Beneficial Owner(s) GENERAL INSTRUCTIONS T help the gvernment fight financial crime, federal regulatin requires certain financial institutins t btain, verify, and recrd infrmatin abut the

More information

Frequently Asked Questions: Broader Public Sector Procurement Directive

Frequently Asked Questions: Broader Public Sector Procurement Directive Frequently Asked Questins: Brader Public Sectr Prcurement Directive 1. What is the Brader Public Sectr (BPS) Prcurement Directive? The Brader Public Sectr Accuntability Act, 2010 prvides the authrity fr

More information

Certification of Beneficial Owner(s)

Certification of Beneficial Owner(s) GENERAL INSTRUCTIONS T help the gvernment fight financial crime, federal regulatin requires certain financial institutins t btain, verify, and recrd infrmatin abut the beneficial wners f legal entity custmers.

More information

Registering Your Business

Registering Your Business Businesses with multiple lcatins D I have the Applicatin I need? Registering Yur Business DR-1N R. XX/XX Page 1 Rule 12A-1.097 Flrida Administrative Cde Effective xx/xx The Flrida Department f Revenue

More information

NM Mortgage Loan Company License New Application Checklist (Company)

NM Mortgage Loan Company License New Application Checklist (Company) NM Mrtgage Lan Cmpany License New Applicatin Checklist (Cmpany) CHECKLIST SECTIONS General Infrmatin License Fees Requirements Cmpleted in Requirements/Dcuments Upladed in Requirements Submitted Outside

More information

How to Become a Delaware Public Benefit Corporation

How to Become a Delaware Public Benefit Corporation Hw t Becme a Delaware Public Benefit Crpratin This utline describes the majr steps required fr an existing Delaware crpratin t becme a Delaware public benefit crpratin. 1. Summary. In rder t becme a public

More information

Supplier Registration form. Supplier Registration Form

Supplier Registration form. Supplier Registration Form Supplier Registratin frm TO ALL SUPPLIERS SEEKING REGISTRATION AS A PREFERRED SUPPLIER OF GOODS AND SERVICES TO GA ENVIRONMENT (PTY) LTD All suppliers are herewith invited t register as a preferred supplier

More information

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005)

FORM 2. INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Section 3 of Act 26 of 2005) FORM 2 INDEPENDENT REGULATORY BOARD FOR AUDITORS (Established under Sectin 3 f Act 26 f 2005) APPLICATION BY A FIRM FOR ADMISSION TO THE REGISTER OF AUDITORS (Fr applicatin in terms f Sectin 38(2)) and

More information

Complete and return this form by July 15, Address: City: State: Zip code: Telephone (Day): Telephone (Evening): Telephone (Cell):

Complete and return this form by July 15, Address: City: State: Zip code: Telephone (Day): Telephone (Evening): Telephone (Cell): Cmplete and return this frm by July 15, 2018. Sectin A: General Infrmatin (Please Print) Last name: First name: MI: Scial Security Number: Address: City: State: Zip cde: Telephne (Day): Telephne (Evening):

More information

Supplier Registration Form

Supplier Registration Form TO ALL SUPPLIERS SEEKING REGISTRATION AS A PREFERRED SUPPLIER OF GOODS AND SERVICES TO GLADAFRICA GROUP (PTY) LTD All suppliers are herewith invited t register as a preferred supplier n the database f

More information

Temporary Rental Unit - Zoning Clearance Application Packet

Temporary Rental Unit - Zoning Clearance Application Packet Temprary Rental Unit - Zning Clearance Applicatin Packet Cunty f Ventura Resurces Management Agency Planning Divisin 800 S. Victria Avenue, Ventura, CA 93009 (805)654-2488 www.vcrma.rg/divisins/planning

More information

VOLUNTEER REGISTRATION FORM

VOLUNTEER REGISTRATION FORM VOLUNTEER REGISTRATION FORM Office Use Only Prgram: Site: Day(s): Time: Name Email: Phne Number (cell) (hme) (Wrk) Address Birth date What is yur current ccupatin? Are yu r have yu ever been a member f

More information

Retail Food Establishment Change of Ownership

Retail Food Establishment Change of Ownership Dear Retail Fd Establishment License Applicant: Retail Fd Establishment Change f Ownership If yu are assuming wnership f a licensed retail fd establishment, and yu meet the fllwing cnditins, yu may submit

More information

KINGSTONE COS INC (Name of Issuer)

KINGSTONE COS INC (Name of Issuer) Sectin 1: SC 13G/A (SC 13G/A) SCHEDULE 13G Under the Securities Exchange Act f 1934 (Amendment N. 1)* KINGSTONE COS INC (Name f Issuer) Cmmn Stck (Title f Class f Securities) 496719105 (CUSIP Number) 12/31/2017

More information

Complete and return this form by July 15, Address: City: State: Zip code: Telephone (Day): Telephone (Evening): Telephone (Cell):

Complete and return this form by July 15, Address: City: State: Zip code: Telephone (Day): Telephone (Evening): Telephone (Cell): 2017 2018 Applicatin Frm Edward T. Cnry Memrial Schlarship Prgram & Jean B. Cryr Memrial Schlarship Prgram Cmplete and return this frm by July 15, 2017. Sectin A: General Infrmatin (Please Print) Last

More information

Northwest Battle Buddies

Northwest Battle Buddies Serving ur Veterans, wh served us all! www.nrthwestbattlebuddies.rg Clubs & Organizatins Third Party Event Apprval We are hnred that yu have selected fr yur next third-party fundraising event. The cntributins

More information

LANGIND E DOCNUM 2009-0311861I7 AUTHOR Zannese, Lisa DESCKEY 26 RATEKEY 2 REFDATE 100721 SUBJECT Issues par. 149(1)(c) and prpsed par.149(1)(d.5) SECTION 149(1)(c); 149(1)(d.5); 149(1.2) SECTION SECTION

More information

BUSINESS ETHICS ASSESSMENT

BUSINESS ETHICS ASSESSMENT TENDER / ASSIGNMENT TENDER / ASSIGNMENT NUMBER TENDER MANAGER / ASSIGNMENT LEADER AUTHOR DATE 20160118 PART 1 (2) BUSINESS PARTNER NAME REGISTERED ADDRESS HOMEPAGE VISITING ADDRESS (IF DIFFERENT FROM ABOVE)

More information

Insulet Corp. Securities Litigation

Insulet Corp. Securities Litigation Page 1 f 8 ELECTRONIC FILING INSTRUCTIONS Insulet Crp. Securities Litigatin READ THESE INSTRUCTIONS CAREFULLY AND IN THE ENTIRETY. YOU MUST COMPLY. Part I - Overview Electrnic claim submissin is available

More information

For InternatIonal affiliate Program

For InternatIonal affiliate Program applicatin Fr InternatInal affiliate Prgram year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

NOODLES & CO Filed by RILEY TIMOTHY M

NOODLES & CO Filed by RILEY TIMOTHY M NOODLES & CO Filed by RILEY TIMOTHY M FORM SC 13G (Statement f Ownership) Filed 10/06/17 Address 520 ZANG ST., SUITE D BROOMFIELD, CO, 80021 Telephne 7202141921 CIK 0001275158 Symbl NDLS SIC Cde 5812 -

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C FORM 8-K Date f Reprt (Date f earliest event reprted): April 28, 2016 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant t Sectin 13 r 15(d) f the Securities

More information

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances

Instruction Page. Verification of 2014 Income Information for Individuals with Unusual Circumstances Instructin Page Imprtant Nte: Please ntify the financial aid ffice if the student r their parents had a change in marital status after the end f the 2014 tax year n December 31, 2014 and als if the parents

More information

Edward T. Conroy Memorial Scholarship

Edward T. Conroy Memorial Scholarship Edward T. Cnry Memrial Schlarship Cntact Infrmatin www.twsn.edu/finaid finaid@twsn.edu Edward T. Cnry Memrial Schlarship Prgram prvides financial aid t: Sns and daughters and surviving spuses (wh have

More information

Consent to Request Consumer Report & Investigative Consumer Report Information

Consent to Request Consumer Report & Investigative Consumer Report Information Cnsent t Request Cnsumer Reprt & Investigative Cnsumer Reprt Infrmatin Applicant's First Name r Initial Last Name I understand that [Cmpany Name] ( COMPANY ) will utilize the services f Sterling InfSystems

More information

application affiliate name address Website

application affiliate name address Website applicatin Fr nrth american affilites year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

Act No. 72 to Amend the Puerto Rico Internal Revenue Code of 2011

Act No. 72 to Amend the Puerto Rico Internal Revenue Code of 2011 June 3, 2015 www.mcvpr.cm TAX ALERT Act N. 72 t Amend the Puert Ric Internal Revenue Cde f 2011 On May 29, 2015, the Gvernr f Puert Ric signed int law Act N. 72 (the Act ) t amend the existing Puert Ric

More information

IDENTIFICATION FORM AUSTRALIAN REGULATED TRUST (Including Self-Managed Super Funds)

IDENTIFICATION FORM AUSTRALIAN REGULATED TRUST (Including Self-Managed Super Funds) AUSTRALIAN REGULATED TRUST (Including Self-Managed Super Funds) GUIDE TO COMPLETING THIS FORM This frm is fr nly. Australian Regulated Trusts include self-managed super funds, registered managed investment

More information

Jacobs Engineering Group Inc. (Name of Issuer)

Jacobs Engineering Group Inc. (Name of Issuer) UNITED STATES OMB APPROVAL SECURITIES AND EXCHANGE COMMISSION OMB Number: 3235-0145 Washingtn, D.C. 20549 Expires: February 28, 2009 Estimated average burden hurs per respnse........10.4 SCHEDULE 13G Under

More information

City of Laramie/Albany County Community Partner Organization-- Outside Agency Funding Request Application. Fiscal Year 2018/2019

City of Laramie/Albany County Community Partner Organization-- Outside Agency Funding Request Application. Fiscal Year 2018/2019 City f Laramie/Albany Cunty Cmmunity Partner Organizatin-- Outside Agency Funding Request Applicatin Fiscal Year 2018/2019 Intrductin The City f Laramie and Albany Cunty prvide funding pprtunities t lcal

More information

Verification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS:

Verification Worksheet- V1 DIRECTIONS 2016 INCOME TAX FILER DIRECTIONS: 2018-2019 Verificatin Wrksheet- V1 DIRECTIONS 2016 INCOME Yur applicatin was selected by the U.S. Dept. f Educatin fr review in a prcess called "verificatin". Yu must submit the last 3 pages f this verificatin

More information

FINANCIAL SERVICES GUIDE

FINANCIAL SERVICES GUIDE PART N: iinvest Securities Financial Services Guide (FSG) FINANCIAL SERVICES GUIDE DATED: Octber 2017 Cntents f this FSG This Financial Services Guide ( FSG ) is an imprtant dcument that iinvest Securities

More information

December 31, 2017 (Date of Event Which Requires Filing of this Statement)

December 31, 2017 (Date of Event Which Requires Filing of this Statement) CUSIP N. 30263Y104 13G/A Page 1 f 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 SCHEDULE 13G/A Under the Securities Exchange Act f 1934 (Amendment N. 3) * FS Bancrp, Inc. ( Name

More information

REPRESENTATIVE PAYEE PROGRAM T. O. D., Inc.

REPRESENTATIVE PAYEE PROGRAM T. O. D., Inc. P.O. Bx 99243 Referral Checklist Client Infrmatin: Please cmplete t the best f yur ability adding as many details as available. Budget: The budget shuld be filled ut as cmpletely as pssible. If yu are

More information

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests

CAREVEST MORTGAGE INVESTMENT CORPORATION Directions for Completing Retraction Requests This package is ONLY fr Class A sharehlders f. Cntents f this package (5 pages): - Instructins fr cmpleting yur retractin request - Retractin Request frm fr CareVest Mrtgage Investment Crpratin The February

More information

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

Salt Lake City Area Office 8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax Salt Lake City Area Office 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 800-257-5590 Fax 800-478-9880 Chicag Office 303 W. Madisn Street Suite 2075 Chicag, IL 60606 800-456-4576 Fax

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE PROOF OF CLAIM AND RELEASE Deadline fr Submissin: July 11, 2015 IF YOU PURCHASED THE COMMON STOCK OF, INC., ( ) DURING THE PERIOD FROM NOVEMBER 14, 2013 THROUGH APRIL 9, 2014, INCLUSIVE (THE CLASS PERIOD

More information

Non-Regulated Activities. Application Guidelines

Non-Regulated Activities. Application Guidelines Nn-Regulated Activities Applicatin Guidelines TABLE OF CONTENTS 1 INTRODUCTION 03 The Qatar Financial Centre (QFC) 03 Permitted Activities within the QFC 03 Wh are these guidelines fr? 04 2 WHAT ARE NON-REGULATED

More information

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER

APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER APPLICATION OF EMPLOYMENT FOR PRINCIPAL ASSISTANT PRINCIPAL TEACHER Applicatins are accepted nly fr pen psitins ****Please cmplete, print, sign and mail r e-mail t the schl where yu are applying. 1 Thank

More information

Application for Employment (Please print)

Application for Employment (Please print) Crdage Cmmerce Center 10 Crdage Park Circle Suite 208 Plymuth, MA 02360 WWW.THEARCOFGP.ORG Email:Inf@Thearcfgp.rg PHONE: 508.732.9292 FAX: 508.732.9229 Applicatin fr Emplyment (Please print) Name Last

More information

Finance Officers of Counties, Municipalities, Boards of Educations and Public Authorities

Finance Officers of Counties, Municipalities, Boards of Educations and Public Authorities NORTH CAROLINA DEPARTMENT OF STATE TREASURER STATE AND LOCAL GOVERNMENT FINANCE DIVISION AND THE LOCAL GOVERNMENT COMMISSION JANET COWELL TREASURER T. VANCE HOLLOMAN DEPUTY TREASURER Memrandum # 2015-09

More information

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY

ARIZONA FIRE DISTRICT ASSOCIATION FINANCIAL PROCEDURES POLICY FINANCIAL PROCEDURES POLICY 1. PURPOSE The purpse f these Financial Prcedures is t prvide cnsistent applicatin f cnduct and prper internal cntrls t safeguard the assets f the Arizna Fire District Assciatin

More information

Quality Assurance Program Independent Student Verification Worksheet

Quality Assurance Program Independent Student Verification Worksheet 2015-16 Quality Assurance Prgram Independent Student Verificatin Wrksheet QAIVER Yur applicatin was selected fr review in a prcess called verificatin. In this prcess, Temple University will be cmparing

More information

address: Driver license number: Date of birth: Occupation:

address: Driver license number: Date of birth: Occupation: MEMBERSHIP APPLICATION PRIMARY MEMBER INFORMATION Name: Scial security Member Number: Hme phne: Cell phne: Business phne: Mther s Maiden Name: Security passwrd: Mailing address: City: State: ZIP Cde: Street

More information

APPLICATION FORM PROFESSIONAL PROJECT ASSISTANCE BOOK PUBLISHERS

APPLICATION FORM PROFESSIONAL PROJECT ASSISTANCE BOOK PUBLISHERS RETURN TO: British Clumbia Arts Cuncil 20-010 Mailing Address: Street Address: Bx 9819, Stn Prv Gvt 800 Jhnsn Street, 2nd Flr Victria, BC V8W 9W3 Victria, BC V8W 1N3 Telephne: (250) 356-1718 E-mail: bcartscuncil@gv.bc.ca

More information

University of Pittsburgh Office of the Controller General Accounting

University of Pittsburgh Office of the Controller General Accounting University f Pittsburgh Office f the Cntrller General Accunting PRISM ACCOUNT REQUEST APPLICATION (PARA) Frm Instructins September 2017 PARA The PRISM Accunt Request Applicatin (PARA) is a web-based applicatin

More information

Customer due diligence guide for clients

Customer due diligence guide for clients Custmer due diligence guide fr clients Nvember 2018 19499409 2 As a reprting entity under the Anti-Mney Laundering and Cuntering Financing f Terrrism Act 2009 (the AML/CFT Act), MinterEllisnRuddWatts has

More information

The Supplemental Nutrition Assistance Program (SNAP) used to be called Food Stamps. You can show your SNAP card or show an award letter that has:

The Supplemental Nutrition Assistance Program (SNAP) used to be called Food Stamps. You can show your SNAP card or show an award letter that has: SNAP (Fd Stamps) The Supplemental Nutritin Assistance Prgram (SNAP) used t be called Fd Stamps. Yu can shw yur SNAP card r shw an award letter that has: Name f the prgram Name f the participant Address

More information

Atossa Genetics Inc. (Name of Issuer)

Atossa Genetics Inc. (Name of Issuer) SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO 240.13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT

More information

Morgan State University Edward T. Conroy Memorial Scholarship Program Application

Morgan State University Edward T. Conroy Memorial Scholarship Program Application Mrgan State University 2018-2019 Edward T. Cnry Memrial Schlarship Prgram Applicatin Imprtant Ntice: Please make sure that yu meet the eligibility requirements belw befre yu cmplete and submit yur applicatin

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE Deadline fr Submissin: June 9, 2018 PROOF OF CLAIM AND RELEASE IF YOU PURCHASED THE COMMON STOCK OF MAGNACHIP SEMICONDUCTOR CORP. ( MAGNACHIP ) BETWEEN FEBRUARY 1, 2012 AND MARCH 11, 2014, INCLUSIVE (TH

More information

Medical Marijuana Activity Zoning Ordinance SUPPLEMENTAL APPLICATION PACKET Manufacturing

Medical Marijuana Activity Zoning Ordinance SUPPLEMENTAL APPLICATION PACKET Manufacturing Medical Marijuana Activity Zning Ordinance SUPPLEMENTAL APPLICATION PACKET Manufacturing COMMUNITY DEVELOPMENT DEPARTMENT / PLANNING DIVISION 8130 Allisn Avenue, La Mesa, CA 91942 Phne: 619.667.1177 Fax:

More information

HASSRA Finance Bulletin Issue 2 October Key messages

HASSRA Finance Bulletin Issue 2 October Key messages President: Rbert Devereux, Permanent Secretary Department fr Wrk & Pensins First Vice President: Una O Brien, Permanent Secretary Department f Health HASSRA Finance Bulletin Issue 2 Octber 2014 Key messages

More information

Summit Asset Managers Limited

Summit Asset Managers Limited Irish Infrastructure Trust Privacy Ntice Intrductin This ntice sets ut details f hw and why Summit Asset Managers Limited, f Beresfrd Curt,, Dublin 1, Ireland, acting n behalf the Irish Infrastructure

More information

For a copy of the following presentation, please visit our website at Go to the Wisdom tab and then to the HR webinar series

For a copy of the following presentation, please visit our website at   Go to the Wisdom tab and then to the HR webinar series Fr a cpy f the fllwing presentatin, please visit ur website at www.ubabenefits.cm. G t the Wisdm tab and then t the HR webinar series page. 2 This presentatin prvides general infrmatin regarding its subject

More information

Edward T. Conroy & Jean B. Cryor Memorial Scholarship Program

Edward T. Conroy & Jean B. Cryor Memorial Scholarship Program OFFICE OF STUDENT FINANCIAL AID Cllege Park, MD 20742 TEL: 301-314-TERP (8377) FAX: 301-314-9587 www.financialaid.umd.edu sfa-schlarships@umd.edu Edward T. Cnry & Jean B. Cryr Memrial Schlarship Prgram

More information

How to Count Employees Determining Group Size Under the Medicare Secondary Payer Regulations

How to Count Employees Determining Group Size Under the Medicare Secondary Payer Regulations Hw t Cunt Emplyees Determining Grup Size Under the Medicare Secndary Payer Regulatins 1. Wh is an Emplyee? An emplyee is an individual wh wrks fr an emplyer r an individual wh, althugh nt actually wrking

More information

Grant Application Guidelines

Grant Application Guidelines Grant Applicatin Guidelines The prgram staff f the Cmmunity Fundatin f Greater New Britain lks frward t wrking with yu. This frm is fr rganizatins that have submitted a Letter f Intent t us and were invited

More information

PROOF OF CLAIM AND RELEASE

PROOF OF CLAIM AND RELEASE Deadline fr Submissin: FEBRUARY 16, 2015 Tel.: 866-274-4004 Fax: 610-565-7985 inf@strategicclaims.net PROOF OF CLAIM AND RELEASE IF YOU PURCHASED OR OTHERWISE ACQUIRED AMERICAN DEPOSITORY SHARES ( ADS

More information

YUM! Brands 401k Plan

YUM! Brands 401k Plan YUM! Brands 401k Plan Final Distributin Electin Name: Scial Security #: Address: Daytime Telephne #: Evening Telephne #: Befre yu can prcess a Final Distributin Electin, yur status must be terminated.

More information

Vision Service Plan (VSP) New Group Implementation Guide

Vision Service Plan (VSP) New Group Implementation Guide Visin Service Plan (VSP) New Grup Implementatin Guide Nrth Ranch Benefits Trust (NRBT) Administered by HealthSmart Benefit Slutins, Inc. Agents shuld submit the cmpleted New Grup Implementatin Guide back

More information

Tax Forms and Publications Recommendations July 11, 2012

Tax Forms and Publications Recommendations July 11, 2012 Tax Frms and Publicatins Recmmendatins July 11, 2012 Frms Reviewed: 1) 2159 and Instructins 2) 668 W(c)(DO) and Instructins 3) Increasing 941 E filing Frm 2159 and Instructins Part 1, Acknwledgement Cpy

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f reprt (Date f earliest event reprted):

More information

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax

8722 S. Harrison St. Sandy, UT P.O. Box 4439 Sandy, UT Fax 8722 S. Harrisn St. Sandy, UT 84070 P.O. Bx 4439 Sandy, UT 84091 877-678-7342 Fax 801-304-5551 HANGAR General Infrmatin Prpsed Effective Date: Applicant s Name: Applicant s Mailing Address: E-Mail: Cunty:

More information

Western Management PO Box San Jose, California

Western Management PO Box San Jose, California Fax COMMUNITY NAME PROPERTY MANAGER FROM FAX PAGES PHONE DATE REGARDING Rental Applicatin CC Urgent Fr Review Please Cmment Please Reply Please Recycle Cmments: Western Management PO Bx 26824 San Jse,

More information

Yelm Prairie PTO - Audit Worksheet Responsibilities The auditors need to complete their report by: Frequency of Audit Audit Committee/Auditor

Yelm Prairie PTO - Audit Worksheet Responsibilities The auditors need to complete their report by: Frequency of Audit Audit Committee/Auditor Yelm Prairie PTO - Audit Wrksheet Respnsibilities T certify the accuracy f the bks and recrds f the financial fficer; and T assure the membership that the assciatin's resurces/funds are being managed in

More information

Region 5 Student Paper Reimbursement Procedure

Region 5 Student Paper Reimbursement Procedure Regin 5 Student Paper Reimbursement Prcedure Prcedure fr student cmpetitin awards winners fr receptin f their prize mney frm Regin 5. This includes the prcedure fr Area student papers awards mnies receptin.

More information

Certification in Clinical Engineering

Certification in Clinical Engineering 2018 Handbk and Applicatin fr Retired and Emeritus Status Change Certificatin in Clinical Engineering by the Healthcare Technlgy Certificatin Cmmissin Prgram spnsred by the American Cllege f Clinical Engineering

More information

Information Checklist for Candidates

Information Checklist for Candidates INSTRUCTIONS: All candidates must bring dcuments as stated in pints 1, 2, 3, 4 and 5. Bx 6 states additinal requirements fr nn EEA students. Originals AND phtcpies are required where stated. Instructins

More information

Start-up Crowdfunding Guide for Funding Portals

Start-up Crowdfunding Guide for Funding Portals Start-up Crwdfunding Guide fr Funding Prtals Crwdfunding is a prcess thrugh which an individual r a business can raise small amunts f mney frm a large number f peple, typically thrugh the Internet. The

More information

For InternatIonal affiliate Program

For InternatIonal affiliate Program applicatin Fr InternatInal affiliate Prgram year ($100 per year) new renewal affiliate name address Website designate the twn, state r prvince and cuntry that will be cnsidered the hme address f this affiliate.

More information

CRG PATIENT REGISTRATION FORM

CRG PATIENT REGISTRATION FORM CRG PATIENT REGISTRATION FORM PATIENT INFORMATION Patient s Name: Birth : (Last) (First) (Middle) Scial Security Number: Male: Female: Hme Address: (Street / RR Bx # / Apt. #) (City/State) (Zip) Preferred

More information

ELIGIBILITY AND APPLICATION REQUIREMENTS

ELIGIBILITY AND APPLICATION REQUIREMENTS ELIGIBILITY AND APPLICATION REQUIREMENTS BASIC ELIGIBILITY REQUIREMENTS At least 16, but nt mre than 25 years ld at the time f applicatin Dependent f Indiana wrker fatally r catastrphically injured as

More information

Era Group Inc. (Exact Name of Registrant as Specified in Its Charter)

Era Group Inc. (Exact Name of Registrant as Specified in Its Charter) UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 8-K CURRENT REPORT Pursuant t Sectin 13 r 15(d) f the Securities Exchange Act f 1934 Date f Reprt (Date f earliest event reprted):

More information

FINANCIAL SERVICES GUIDE Adams Triglone, Gregory Thomas Adams, Judith Anne Constantine

FINANCIAL SERVICES GUIDE Adams Triglone, Gregory Thomas Adams, Judith Anne Constantine FINANCIAL SERVICES GUIDE Adams Triglne, Gregry Thmas Adams, Judith Anne Cnstantine Date: 8 December 2016 This Financial Services Guide ( FSG ) is prvided by: Adams Triglne ABN 29 551 448 187 (Authrised

More information

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS:

1. REIMBURSEMENTS FOR EXPENSES: 2. REQUESTING CHECKS: Mnetary Plicies and Prcedures PTO funds are intended t benefit the students thrugh the enhancement f schl prgrams and activities. The PTO Officers are the guardians f these funds and have an bligatin t

More information

Annual Return Guidance

Annual Return Guidance Annual Return Guidance Updated July 2018 Scttish Charity Regulatr Annual Return Guidance CONTENTS Pg 3. 1. INTRODUCTION Pg 4. 2. SECTION A Pg 8. 3. SECTION B Pg 11. 4. SECTION C 1. Intrductin What this

More information

APPLICATION TO CHANGE OR ADD A CORPORATE OFFICER OF A CORPORATION OR MEMBER / MANAGER OF A LIMITED LIABILITY COMPANY. General Instructions

APPLICATION TO CHANGE OR ADD A CORPORATE OFFICER OF A CORPORATION OR MEMBER / MANAGER OF A LIMITED LIABILITY COMPANY. General Instructions NEVADA STATE CONTRACTORS BOARD 2310 Crprate Circle, Suite 200, Hendersn Nevada, 89074 (702) 486-1100 Fax (702) 486-1190 Investigatins (702) 486-1110 5390 Kietzke Lane, Suite 102, Ren, Nevada, 89511 (775)

More information

Online Sanctions for Contest Directors

Online Sanctions for Contest Directors The newly-redevelped event sanctining prtal is currently in a pre-release phase. When develpment has cmpleted in January 2019, this dcument will be updated t reflect the new prtal. In the meantime, please

More information

Hawaii Division of Financial Institutions 2018 Renewal Checklist

Hawaii Division of Financial Institutions 2018 Renewal Checklist Hawaii Divisin f Financial Institutins 2018 Renewal Checklist Instructins Renewal requests must be submitted thrugh by the date specified by yur state regulatr(s). Click here t review all renewal deadlines,

More information

NOTICE OF DATA BREACH

NOTICE OF DATA BREACH April 18, 2017 «First_Name» «Last_Name» «Hme_Address_1» «Hme_Address_2» «Hme_City», «Hme_State» «Hme_Zip» «Hme_Cuntry» Dear «First_Name» «Last_Name»: NOTICE OF DATA BREACH We are writing t fllw up n an

More information

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES

AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES March 2013 AMENDMENTS TO NASDAQ RULES ON COMPENSATION COMMITTEES Summary. The Securities and Exchange Cmmissin recently apprved the fllwing amendments t the NASDAQ listing rules relating t cmpensatin cmmittees:

More information

FOR PLAN ADMINISTRATORS

FOR PLAN ADMINISTRATORS QDRO INFORMATIONAL KIT FOR PLAN ADMINISTRATORS T ensure cmpliance with requirements impsed by the IRS, we infrm yu that any infrmatin cntained in this cmmunicatin (including any attachments) was nt intended

More information

FLORIDA SMALL BUSINESS EMERGENCY BRIDGE LOAN APPLICATION

FLORIDA SMALL BUSINESS EMERGENCY BRIDGE LOAN APPLICATION FLORIDA SMALL BUSINESS EMERGENCY BRIDGE LOAN APPLICATION Disaster Event: Hurricane Michael (Applicatin Deadline December 7, 2018) LOAN AMOUNT REQUESTED: (Maximum $50,000) * Lans f up t $100,000 may be

More information

RAMS Deposits FAQs RAMS Action

RAMS Deposits FAQs RAMS Action 12 May 2012 Accunt Sectin 1. Wh is eligible? Wh can pen a accunt? Yu can pen a accunt if yu satisfy all f the fllwing requirements: Yu are a persnal custmer (nt a business, cmpany r trust) Yu are aged

More information

Physical Therapists and Related Occupations Application

Physical Therapists and Related Occupations Application Physical Therapists and Related Occupatins Applicatin Darwin Natinal Assurance Cmpany Main Administrative Office: Crprate Office: 9 Farm Springs Rad 1807 Nrth Market Street Farmingtn, CT 06070 Wilmingtn,

More information

Use the included checklist to ensure that the plan(s) include at least the minimum required information.

Use the included checklist to ensure that the plan(s) include at least the minimum required information. RCOC Applicatin Instructins CHELMSFORD CONSERVATION COMMISSION Request fr Certificate f Cmpliance Applicatin Instructins Certificates f Cmpliance (COC) are the final permit issued by the Cnservatin Cmmissin

More information

STUDENT EMPLOYMENT FORMS PACKET

STUDENT EMPLOYMENT FORMS PACKET STUDENT EMPLOYMENT FORMS PACKET FOR INTERNATIONAL STUDENTS THE GW Center fr Career Services Marvin Center Suite 505 Student emplyment questins? E-mail us at gwse@gwu.edu This packet cntains: Federal I-9

More information

General Information and Instructions NOT FOR USE

General Information and Instructions NOT FOR USE Part II Order Request Frm Ministry f the Envirnment and Climate Change General: General Infrmatin and Instructins Anyne wh has utstanding envirnmental issues that have nt been addressed thrugh the Class

More information

IDENTIFICATION FORM AUSTRALIAN COMPANY

IDENTIFICATION FORM AUSTRALIAN COMPANY AUSTRALIAN COMPANY GUIDE TO COMPLETING THIS FORM This frm is fr nly. Fr cmpanies incrprated r registered utside f Australia use the FOREIGN COMPANY IDENTIFICATION FORM. Cmplete ne frm fr each cmpany. Tax

More information

Dear Targeted Small Business (TSB) Applicant:

Dear Targeted Small Business (TSB) Applicant: Dear Targeted Small Business (TSB) Applicant: Thank yu fr yur interest in becming certified as a State f Iwa Targeted Small Business (TSB). TSB Certificatin administered by the Iwa Ecnmic Develpment Authrity

More information

APPLICANT'S INFORMATION AND INSTRUCTIONS (KEEP FOR YOUR REFERENCE)

APPLICANT'S INFORMATION AND INSTRUCTIONS (KEEP FOR YOUR REFERENCE) Virginia Beach Planning Cmmissin Department f Planning Rm. 115, Bldg. 2 2405 Curthuse Drive Virginia Beach, VA 23456 (757) 385-4621 (757) 385-5667 (fax) planadmn@vbgv.cm http://www.vbgv.cm/pc Keep pages

More information

PACIFIC DRILLING S.A. (Name of Issuer)

PACIFIC DRILLING S.A. (Name of Issuer) UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washingtn, D.C. 2549 SCHEDULE 13G Under the Securities Exchange Act f 1934 (Amendment N. )* PACIFIC DRILLING S.A. (Name f Issuer) COMMON STOCK, PAR VALUE

More information

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION Financial Aid Office P.O. Bx 6905 Radfrd, VA 24142 Phne: (540) 831-5408 Fax: (540) 831-5138 finaid@radfrd.edu RU Financial Aid Website: http://www.radfrd.edu/finaid IRS 2016 FEDERAL TAX TRANSCRIPT INFORMATION

More information