Transcription of Application for Per Capita Disability Exemption - KofC
{{id}} {{{paragraph}}}
Example: bankruptcy
Application for Per Capita Disability Exemption - KofC
Application FOR RELIEF FROM PAYMENTOF COUNCIL DUES AND SUPREME ANDSTATE COUNCIL PER Capita TAXESI hereby certify that I,_____, _____Name Address_____, am a member in good standing of Council that I am totally disabled and hereby request that I be relieved of payment of allcouncil dues and Supreme and state council per Capita taxes under Section 118(e) ofthe laws of the Order. In support of this request, I submit one of the following asevidence of my total Disability :()Certification from Health and Human Services, or()Certification from Internal Revenue Service, or()Certification from Veterans Administration, or()Certification from attending _____Member SignatureCERTIFICATION OF COUNCILC ouncil is to certify that _____,_____,NameMembership Numberis a member in good standing in this council and that he has presented evidence of totaldisability that warrants consideration for relief from payment of all council dues andSupreme and state council per Capita taxes.
Section 118(e) of the Charter, Constitution, and Laws of the Knights of Columbus. Attest: _____ _____ Financial Secretary Grand Knight Dated _____ Submit completed form to membership@kofc.org. Notes: If the application is approved, dues and per capita shall be waived until the financial ...
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: