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Search results with tag "Sworn"

Public Works Sworn Statement - michigan.gov

www.michigan.gov

SWORN STATEMENT STATE OF MICHIGAN ) ) ss. COUNTY OF ) _____, being duly sworn, deposes and says: That _____ is a/the (contractor)(subcontractor)(supplier) for an improvement to the following described public works situated in _____ County, Michigan, described as follows:

  Public, Testament, Michigan, Work, Sworn, Public works, Statement sworn, Public works sworn statement

GENERAL CONTRACTOR’S SWORN STATEMENT

www.atgf.com

improvements on t he Premises; that the dollar amount set opposite each person, firm , or corporation in this Sworn Statement is the exact and total amount due or to become due to each such person, firm, or corporation on account of labor, services, equipment, and/or

  General, Testament, Contractor, Sworn, General contractor s sworn statement

PEACE OFFICER’S SWORN REPORT DIC-23 (Rev. …

www.dps.texas.gov

PEACE OFFICER’S SWORN REPORT DIC-23 (Rev. 9/11) STATE OF TEXAS COUNTY OF My name is , and I am a Texas Peace Officer. I certify that the following information is

  Report, Officer, Peace, Sworn, Peace officer s sworn report dic

CERTIFICATE OF IDENTITY/SWORN STATEMENT - BIRTH & …

publichealth.lacounty.gov

CERTIFICATE OF IDENTITY/SWORN STATEMENT - BIRTH & DEATH . In accordance with California State Law, the following identifying information is required to obtain a certified copy of Birth or Death Certificate. You must be one of the following to receive an authorized copy of a birth or death record, individual named on

  Certificate, Identity, Sworn, Certificate of identity

PLATE CANCELLATION REQUEST State of Maine Bureau of …

www.maine.gov

Before me personally appeared _____ who by me being duly sworn upon oath, says that the statement set forth above is true and correct. Subscribed and sworn to before me this _____ day of _____, 20____. Notary Public for

  Maine, Sworn, Subscribed, Subscribed and sworn

PEACE OFFICER’S SWORN REPORT DIC-23 (Rev. 9/11) …

www.dps.texas.gov

PEACE OFFICER’S SWORN REPORT DIC-23 (Rev. 9/11) STATE OF TEXAS COUNTY OF My name is , and I am a Texas Peace Officer. I certify that the following information is true and correct: I had probable cause to believe and do believe that Subject’s Name

  Report, Officer, Peace, Sworn, Peace officer s sworn report dic, Peace officer

JURAT

www.txcourts.gov

Page 1 of 1 JURAT The State of Texas County of _____ Subscribed and sworn to before me on this _____ day of _____, 20_____ by _____.

  Sworn, Subscribed, Subscribed and sworn

SBD 6.1 PREFERENCE POINTS CLAIM FORM IN TERMS OF ... - …

www.energy.gov.za

1) B-BBEE Status level certificate issued by an authorized body or person; 2) A sworn affidavit as prescribed by the B-BBEE Codes of Good Practice; 3) Any other requirement prescribed in terms of the B-BBEE Act; (i) “QSE” means a qualifying small business enterprise in …

  Enterprise, Affidavits, Bbee, Sworn, Sworn affidavit

State of California

notary.cdn.sos.ca.gov

Subscribed and sworn to (or affirmed) before me on this _____ day of _____, 20__, by_____, proved to me on the basis of satisfactory evidence to be the . person(s) who appeared before me. (Seal) Signature_____ A notary public or other officer completing this certificate verifies only the identity of the individual ...

  California, Sworn, Subscribed, Subscribed and sworn

Form 2305 - Affidavit to Establish Title to Exempt Property

dor.mo.gov

Subscribed and sworn before me, this day of year State County (or City of St. Louis) My Commission Expires (MM/DD/YYYY) Notary Public Signature Notary Public Name (Typed or Printed) Embosser or black ink rubber stamp seal Notary Information __ __ /__ __ /__ __ __ __ Estate Of State County Missouri Affiant County

  Missouri, 2053, Sworn, Affiant, Subscribed, Subscribed and sworn, Missouri affiant

50-114-A Residence Homestead Exemption Affidavits …

comptroller.texas.gov

Further, Affiant sayeth not.” SUBSCRIBED AND SWORN TO before me this, the _____ day of _____ , _____ Signature of Affiant _____ Notary Public in and for the State of Texas My Commission expires: _____ Form developed by: Texas Comptroller of Public Accounts, Property Tax Assistance Division For additional copies, visit: ...

  Sworn, Affiant, Subscribed, Subscribed and sworn

TX Notarial Certificates

notarypublicstamps.com

to be the person whose name is subscribed to the foregoing document and, being by me first duly sworn, declared that the statements therein contained are true and correct. (seal) Notary Public Signature

  Sworn, Subscribed

Farm Work License Affidavit - Minnesota

dps.mn.gov

Affiant further states that driving by the said child is necessary to assist affiant in the performance of farm work on the family operated farm. Parent/Guardian Signature. Witnessed by: Subscribed and sworn to before me this _____ day of _____ 20 _____ COUNTY _____ MY COMMISSION EXPIRES _____

  Affidavits, License, Work, Farm, Minnesota, Sworn, Affiant, Subscribed, Subscribed and sworn, Farm work license affidavit

PERMITS, PLANS, INSPECTIONS and ... - Florida Building

www.floridabuilding.org

(Signature of Contractor) STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this ____ day of _____ , (year) , by (name of person making statement) . (Signature of Notary Public - State of Florida) (Print, Type, or …

  Building, Testament, Florida, Contractor, Florida building, Sworn

Cellphone (Mobile Device) Search Warrant Affidavit

www.rcfl.gov

CASE NUMBER: _____ APPLICATION AND AFFIDAVIT FOR SEARCH WARRANT Detective [Name] of the [Law Enforcement Agency], who is currently assigned to [office/squad], being of lawful age and first duly sworn upon my oath, states as follows: 1. I am submitting this Affidavit in support of an application for a warrant to search

  Affidavits, Number, Sworn

USE OF THIS FORM AFFIANT (The person filling out this form ...

eforms.state.gov

Printed Name of Affiant (The affiant is the person filling out this form) Signature of Affiant Street Suffix First Male Female (Jr.,Sr.,III) Address of Affiant Identifying Document Presented: Subscribed and Sworn to before me this at Name of Passport Agent, Passport Acceptance Agent, or Notary DS-10 10-2020 Page 2 of 2 NOTARY SEAL

  Sworn, Affiant, Subscribed, Subscribed and sworn

assets.kpmg

assets.kpmg

SUBSCRIBED AND SWORN to before me this day of 20 in Issued at Doc. No.. No.. Book No.. Series of Affix P30.oo Documentary Stamp Tax Date Received: (MM-DD-YYYY-OOOO/) Applicant exhibited to me his/her on (Government Issued ID and No.) NOTARY PUBLIC (To be filled-out by the withholding agent/lone payor) Received by: Signature over Age'"/ Pul'nr ...

  Sworn, Subscribed, Subscribed and sworn

Division of Motorist Services - Florida Department of ...

flhsmv.gov

(Signature of Affiant) TO BE COMPLETED BY A NOTARY: Sworn to (or affirmed) and subscribed before me this by: . (name of person making statement) (Signature of Notary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification (Type of Identification Produced)

  Services, Division, Sworn, Division of motorist services, Motorist, Affiant, Subscribed

Non-Probate Affidavit - Arizona Department of Transportation

apps.azdot.gov

Affiant Name (first, middle, last, suffix) Affiant Signature Subscribed and sworn to before me this date. Notary or MVD Agent Signature Date County State Commission Expires . NON-PROBATE AFFIDAVIT for Obtaining Title to the Vehicle of …

  Affidavits, Probate, Sworn, Affiant, Subscribed, Subscribed and sworn, Non probate affidavit

Tax Deferral Affidavit Age 65 or Older or Disabled Homeowner

comptroller.texas.gov

Signature of Affiant Date of Birth SUBSCRIBED AND SWORN TO before me this the _____ day of _____, _____ _____ Notary Public, State of Texas _____ My Commission Expires _____ Notary’s Printed Name If you make a false statement on this affidavit, you could be found guilty of a Class A misdemeanor or a state jail felony under Penal Code Section ...

  Sworn, Affiant, Subscribed, Subscribed and sworn

U.S. Department of State OMB CONTROL NO. 1405-0187 …

eforms.state.gov

SUBSCRIBED AND SWORN (AFFIRMED) before me this day of , . [SEAL] Signature and Title of Consular Officer, Passport Specialist or Designated Consular/Acceptance Agent Administering Oath. DS-5507 09-2020 Page 4 of 4 PART III (Oath: To be completed by all affiants) PLEASE STOP HERE!

  Sworn, Subscribed, Subscribed and sworn

How to Complete Notarial Certificates Right the First Time

www.nationalnotary.org

Nov 05, 2009 · The foregoing instrument was acknowledged, subscribed and sworn to before me . this day of , 20 , by . My commission expires: _____ _____ Notary Public . This notarial certificate contains acknowledgment and jurat wording in one certificate.

  Sworn, Subscribed, Subscribed and sworn

Example (C12-123456-12) THE STATE OF TEXAS § IN THE ...

dallascityhall.com

Affiant and Surety. SWORN TO and subscribed before me, on this _____ day of _____ 20 _____. LOCATION AND DESCRIPTION. PRESENT MARKET VALUE ENCUMBANCE. NET VALUE Deputy Clerk of the Court Affiant and Surety Deputy Clerk of the Court

  Sworn, Affiant, Subscribed

Sworn Statement to Obtain Traffic Crash Report Information

www.flhsmv.gov

Sworn (or affirmed) and subscribed before me by means of ☐physical presence or ☐ onlinenotarization. this ____ day of , 20 , by _____ Personally Known ☐ or Produced Identification (ID) ☐ Type ID Produced:

  Sworn, Subscribed

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO

www.grantthornton.co.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE - GENERAL I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts. 2. I am a Member/Director/Owner of the following enterprise and am duly authorised to act

  General, Enterprise, Micro, Affidavits, Bbee, Exempted, Sworn, Sworn affidavit b bbee exempted micro, Sworn affidavit b bbee exempted micro enterprise general

SWORN AFFIDAVIT FOR LOG NUMBER INVESTIGATION

directives.chicagopolice.org

SWORN AFFIDAVIT FOR LOG NUMBER INVESTIGATION CHICAGO POLICE DEPARTMENT STATE OF ILLINOIS)) cc COUNTY OF COOK) Location of Incident Date Time I, hereby state as follows: 1. I have read the above summary and/or attached statement(s) in its

  Department, Investigation, Police, Affidavits, Number, Chicago, Sworn, Sworn affidavit for log number investigation chicago police department, Sworn affidavit for log number investigation

Sworn Statement for the Transfer of a Used ... - Ontario

www.forms.ssb.gov.on.ca

* Commissioner may be: Lawyer/Notary Public Justice of the Peace Local municipal/town Clerk, Deputy Clerk, Treasurer, Head of Municipal Council, Reeve/Deputy Others appointed by Lieutenant Governor to administer oaths and to take affi davits (call 1 866 668-8297 for availability of a Commissioner) Sworn Statement for the Transfer of a

  Testament, Transfer, Commissioners, Sworn, Oaths, Sworn statement for the transfer of

SWORN AFFIDAVIT B-BBEE QUALIFYING SMALL

www.grantthornton.co.za

SWORN AFFIDAVIT – B-BBEE QUALIFYING SMALL ENTERPRISE- GENERAL I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows:

  General, Enterprise, Affidavits, Small, Bbee, Sworn, Qualifying, Bbee qualifying small, Bbee qualifying small enterprise general, Sworn affidavit

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO ENTERPRISE

www.cipc.co.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts.

  Enterprise, Micro, Testament, Affidavits, Bbee, Exempted, Sworn, Sworn affidavit b bbee exempted micro enterprise

Sworn Full and Part Time Hiring Package Checklist

www.gdcjobs.com

GEORGIA DEPARTMENT OF CORRECTIONS Sworn Full and Part Time Hiring Package Checklist EMPLOYEE INFORMATION Name: HIRING PACKAGE FORMS – SEND TO CHRM OFFICE

  Time, Checklist, Part, Packages, Hiring, Sworn, Part time hiring package checklist

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO ENTERPRISE ...

www.winniemmlm.gov.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE – SPECIALISED ENTITY ONLY – GENERAL - which include (Not Limited to) Non-Profit Organisations, Non-Profit Companies, Public Benefit Organisations etc. I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1.

  Enterprise, Entity, Micro, Affidavits, Only, Specialised, Bbee, Exempted, Sworn, Bbee exempted micro enterprise, Sworn affidavit b, Sworn affidavit b bbee exempted micro enterprise specialised entity only

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO

registercompany.co.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE - GENERAL I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts. 2. I am a Member / Director / Owner of the following enterprise and am duly authorised to ...

  General, Enterprise, Micro, Affidavits, Bbee, Exempted, Sworn, Sworn affidavit b bbee exempted micro, Sworn affidavit b bbee exempted micro enterprise general

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO

www.westerncape.gov.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE (GENERAL) I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts. 2. I am a Member / Director / Owner of the following enterprise and am duly authorised

  Enterprise, Micro, Affidavits, Bbee, Exempted, Sworn, Sworn affidavit b bbee exempted micro, Sworn affidavit b bbee exempted micro enterprise

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO ENTERPRISE ...

www.thedtic.gov.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE – SPECIALISED ENTITY ONLY – GENERAL - which include (Not Limited to) Non-Profit Organisations, Non-Profit Companies, Public Benefit Organisations etc. I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1.

  Enterprise, Entity, Micro, Affidavits, Only, Specialised, Bbee, Exempted, Sworn, Sworn affidavit b bbee exempted micro enterprise, Sworn affidavit b bbee exempted micro enterprise specialised entity only

SWORN AFFIDAVIT B-BBEE EXEMPTED MICRO ENTERPRISE - …

www.thedtic.gov.za

SWORN AFFIDAVIT – B-BBEE EXEMPTED MICRO ENTERPRISE - GENERAL I, the undersigned, Full name & Surname Identity number Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts.

  Affidavits, Sworn, Sworn affidavit b

SWORN STATEMENT BY RESIDENT UNDER

www.nwls.org

RESIDENCY AFFIDAVIT, 24 PS §13-1302 I/We attest that all information provided here is correct and current. I/We understand that if residency should change, for any reason, it …

  Under, Testament, Affidavits, Resident, Sworn, Sworn statement by resident under

SWORN STATEMENT - armyreal.com

www.armyreal.com

9.€ statement (continued) page 2, da form 2823, dec 1998 usapa 9v1.010 statement of taken at dated use this page if needed. if this page is not needed, please proceed to final page of this form.

  Testament, Sworn, Statement sworn

SWORN AFFIDAVIT - Houston

www.houstontx.gov

Issue Record # _____ I ncident #_____

  Affidavits, Houston, Sworn, Sworn affidavit

SWORN STATEMENT FOR CONTRACTOR OR

www.advancedlandtitleagency.com

No. Name, Address, & Telephone Number of Subcontractor, Supplier or Laborer Type of Improvement Furnished Total Contract Price Amount Already Paid Amount Currently Owing Balance To Complete

  Testament, Contractor, Sworn, Sworn statement for contractor or

Sworn Statement for the Transfer of a Used Vehicle in the ...

www.forms.ssb.gov.on.ca

The Recipient is now the owner of the Used Vehicle(s) named in the Application(s) for Transfer. 3. The Used Vehicle(s) owned by the said Recipient is/are a bearing Vehicle Identifi cation Number . If more than 1 vehicle is being transferred attach list including Year, Make, Model and VIN Number. 4. The Used Vehicle(s) was/were acquired by the ...

  Vehicle, Testament, Transfer, Sworn, Sworn statement for the transfer of

SWORN STATEMENT FOR CONTRACTOR AND …

www.constructionedgeonline.com

Escrow No.: Draw No.: 1 Page: 5 Amt of Contract Retention (inc. Current) Net of Previous Payments Net Amount This Payment Balance to Become Due TOTAL …

  Sworn

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