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SAMPLE - USPS

Authorization to hold MailNOTE: Complete and give to your letter carrier or mail to the post office that delivers your : Please hold mail for:Name(s)Address (Number, street, no., city, state, ZIP + 4)Beginning DateFor Post Office Use OnlyBin NumberRoute NumberDate ReceivedClerkCarrierAccumulated mailhas been picked form 8076, April 2001 Resume Delivery of mail (Date)(Complete this section only if customer selected option B)CustomerSignatureEnding Date (May only be changed bythe customer in writing)We can hold your mail for a minimum of 3,but not for more than 30 will pick up all accumulated mail when Ireturn and understand that mail deliverywill not resume until I deliver all accumulated mail andresume normal delivery on the endingdate shown below.

PS Form 8076, January 2020 Note: The person who prepares this form states that he or she is the person, executor, guardian, authorized officer, or agent of the person for whom the Postal Service would hold mail under this request. Anyone submitting false or inaccurate information on this form is subject to punishment by fine or imprisonment or ...

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  Form, Usps, Mail, Hold, 7608, Ps form 8076, Hold mail

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