THIS FORM SHOULD NOT BE FILED WITH THE COURT FL-142
Form Approved for Optional Use Judicial Council of California FL-142 [Rev January 1, 2005] Code of Civil Procedure, §§ 2030(c), 2033 5 www courts ca gov
Form 8821 (Rev January 2021) - Internal Revenue Service
Taxpayer identification number(s) Daytime telephone number Plan number (if applicable) 2 Designee(s) If you wish to name more than two designees, attach a list to this form Check here if a list of additional designees is attached Name and address Check if to be sent copies of notices and communications CAF No PTIN Telephone No Fax No
NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) Education : Date
POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them
CIV-110 Request for Dismissal - California Courts
Declaration Concerning Waived Court Fees 1 3 The person named in item 1 is (check one below): a b c CIV-110 [Rev January 1, 2013] REQUEST FOR DISMISSAL
Supplemental and Optional Contact Information for HUD
OMB Control # 2502-0581 Exp (02/28/2019) Supplemental and Optional Contact Information for HUD-Assisted Housing Applicants SUPPLEMENT TO APPLICATION FOR FEDERALLY ASSISTED HOUSING
Certificate of Fact
License plate/Registration number Vehicle Identification Number (VIN) or Hull Identification Number (HIN) Model year Make Model I certify that I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct Date and place (city or county) signed Signature
Lien Entry Form - Oklahoma
Oklahoma Tax Commission Motor Vehicle Division Post Office Box 269061 Oklahoma City, Oklahoma 73126 Lien Entry Form Debtor Names and Address (Last Name First)
TC-661, Certificate of Inspection - Utah State Tax Commission
that the officer or agent has physically inspected the identification number (VIN/HIN) as it appears on the unit Inspection by out-of-state peace officers and authorized agents of other state motor vehicle offices will be accepted TC-661 Certificate Of Inspection Rev 12/12
Link to Enterprise Email OWA: https://webmailmil/owa When
Link to Enterprise Email OWA: https://web mail mil/owa When it prompts you for a certificate, choose the “DOD EMAIL” certificate
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