INSTRUCTIONS: ARIZONA FINANCIAL REPORT FOR BINGO LICENSE CLASS "B" OR CLASS "C" (Form 71-1001)

During the process of applying for a bingo "B" or "C" class license in Arizona, a financial report must be filed. This document, form 71-1001, can be obtained from the website of the Arizona Department of Revenue.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 1: Enter the beginning and ending dates of your reporting period.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 2: Enter the licensee's name and address, license number, the number of occasions, the number of patrons and the phone number including the area code. Indicate the license classification with a check mark.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 3: Lines 1 through 10 concern gross receipts. Enter admissions charges and card sales on line 1, special bonus game sales on line 2, sales of bingo supplies on line 3, interest from checking or savings accounts on line 4, and cash over on line 5.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 4: Document NSF checks on line 6.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 5: Enter the sum of lines 1, 2, 3, 4, 5 and 6D on line 7.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 6: Skip to the second page and complete lines 16 through 18, which concern expenditures.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 7: Transfer the value from line 18 on the second page to line 8 on the first page.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 8: Subtract line 8 from line 7 and enter the resulting difference on line 9.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 9: Complete Schedule I on the fourth page, then transfer the value from line 33 there to line 10 on the first page.

Arizona Financial Report For Bingo License Class "B" Or Class "C" 71-1001 Step 10: Subtract line 10 from line 9. Enter the resulting difference on line 11. Complete the remainder of the form as instructed.

INSTRUCTIONS: CONNECTICUT INSURANCE PREMIUM FINANCE COMPANY LICENSURE APPLICATION

To apply for a license to act as an insurance premium finance company in Connecticut, file the application discussed in this article. This document can be obtained from the website maintained by the government of the state of Connecticut as part of a packet which includes additional power of attorney forms that will need to be completed.

Connecticut Insurance Premium Finance Company Licensure Application Step 1: On line 1, state whether the applicant is an individual, partnership, association or corporation.

Connecticut Insurance Premium Finance Company Licensure Application Step 2: On line 2, enter the name of the applicant.

Connecticut Insurance Premium Finance Company Licensure Application Step 3: On line 2a, enter the federal employer identification number of the applicant.

Connecticut Insurance Premium Finance Company Licensure Application Step 4: On line 3, enter the street address, city or town, state and zip code of the principal office.

Connecticut Insurance Premium Finance Company Licensure Application Step 5: On line 4, enter the street address, city or town, state and zip code of up to two Connecticut branch offices.

Connecticut Insurance Premium Finance Company Licensure Application Step 6: On line 5, write what other business is or will be conducted at principal or branch offices.

Connecticut Insurance Premium Finance Company Licensure Application Step 7: If the applicant is a corporation or LLC, enter the place and date of incorporation on line 6.

Connecticut Insurance Premium Finance Company Licensure Application Step 8: If the applicant is a partnership, association or corporation, enter the names, title, business and home addresses and occupation of all partners, members or officers on line 7.

Connecticut Insurance Premium Finance Company Licensure Application Step 9: If the applicant is a corporation, enter the names, home and business addresses and occupation of all directors on line 8.

Connecticut Insurance Premium Finance Company Licensure Application Step 10: Lines 9 and 10 contain instructions for mandatory attachments.

Connecticut Insurance Premium Finance Company Licensure Application Step 11: Document your assets, liabilities and surplus on line 11.

Connecticut Insurance Premium Finance Company Licensure Application Step 12: Document each individual applicant as instructed on lines 12A through 12H.

Connecticut Insurance Premium Finance Company Licensure Application Step 13: Line 13 should be completed by corporations only.

Connecticut Insurance Premium Finance Company Licensure Application Step 14: Sign and date line 14.

INSTRUCTIONS: CONNECTICUT 2012 CONSUMER REPORT CARD SURVEY – PART 2

Managed care organizations are required to complete an annual consumer report card survey. This article discusses part 2 of this survey, which can be obtained from the website maintained by the government of Connecticut.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 1: On the first page, enter the name and address of the managed care organization, as well as the name and title of a contact person, and a contact telephone number and email address. You should also enter the number of primary care physicians in the provider network who are board certified where indicated.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 2: The second page concerns the percentage of physician specialists in the provider network who are board certified, breast cancer screenings, cervical cancer screenings, colorectal cancer screenings and controlling high blood pressure.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 3: The third page concerns cholesterol management for patients with cardiovascular conditions, childhood immunizations and beta blocker treatment after a heart attack.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 4: The fourth page concerns prenatal care in the first trimester and postpartum, adult access to preventive/ambulatory health services, outpatient drug utilization for managed care enrollees, and eye exams for people with diabetes.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 5: The fifth page concerns comprehensive diabetes care and member satisfaction.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 6: The next three pages contain questions which are to be answered by those enrolled in the network to measure member satisfaction.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 7: The ninth page is the beginning of the mental health services addendum. The ninth page concerns mental health utilization-inpatient discharges and average length of stays, mental health utilization percentage by level of care, and chemical dependency utilization inpatient discharges and length of stays.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 8: The next two pages require further information about mental health services.

Connecticut 2012 Consumer Report Card Survey – Part 2 Step 9: The twelfth page concerns fully insured and self insured behavioral health statistics, while the last page concerns claim denial data for the year.

INSTRUCTIONS: CONNECTICUT SHORT FORM CAMPAIGN FINANCE DISCLOSURE STATEMENT (SEEC Form 21)

A short form campaign finance disclosure statement can be submitted if a Connecticut committee did not receive contributions or funds or make or incur expenditures in excess of $1,000 for the period being documented. This is done using a SEEC form 21. This document can be obtained from the website of the government of Connecticut.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 1: On line 1, enter the name of the committee.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 2: In the first box on line 2, enter the title of the treasurer.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 3: In the second box, enter the treasurer's first name.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 4: In the third box, enter the treasurer's middle initial.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 5: In the fourth box, enter the treasurer's last name.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 6: In the fifth box, enter the treasurer's suffix, if applicable.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 7: On line 3, enter the treasurer's address.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 8: On line 4, enter the date of the election or referendum.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 9: On line 5, enter the office sought.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 10: On line 6, enter the district number, if applicable.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 11: On line 7, enter the candidate's name.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 12: On line 8, indicate what type of report is being filed by checking the appropriate box.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 13: On line 9, enter the beginning and ending dates of the period being covered.

Connecticut Short Form Campaign Finance Disclosure Statement SEEC Form 21 Step 14: On line 10, the treasurer or deputy treasurer should sign and print their name, as well as entering the date.

INSTRUCTIONS: CONNECTICUT PROPERTY EXECUTION PROCEEDINGS CLAIM FOR DETERMINATION OF INTERESTS IN DISPUTED PROPERTY (Form JD-CV-5C)

During a Connecticut case involving foreclosure or related procedures, a form JD-CV-5C is used to request a hearing concerning a party's claimed interests in disputed property. This document can be obtained from the website of the Connecticut Judicial Department.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 1: Enter the case docket number in the first blank box.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 2: In the second blank box, indicate whether the case is in judicial district court, housing session court, a small claims area (enter its location), or a geographical area (enter its number).

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 3: In the third blank box, enter the date of judgment.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 4: In the fourth blank box, enter the address of the court.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 5: In the fifth blank box, enter the original case caption.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 6: In the sixth blank box, enter the date of service of execution or application for turnover order.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 7: In the next two blank boxes, enter the names and addresses of the judgment creditors and debtors, respectively.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 8: In the next two blank boxes, enter the names and addresses of persons claiming an interest in the property and a description of the applicable property.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 9: In the next blank box, state the basis of your claim, superior interest or the nature of the dispute.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 10: Sign, date and print your name in the next three blank boxes.

Connecticut Property Execution Proceedings Claim For Determination Of Interests In Disputed Property JD-CV-5C Step 11: Complete the remainder of the form as directed.

INSTRUCTIONS: CONNECTICUT NOTICE OF JUDGMENT AND ORDER FOR WEEKLY PAYMENTS (Form JD-CV-50)

In a Connecticut case involving creditors and debtors, a form JD-CV-50 is used to render judgment and order the defendant to make weekly payments. This document can be found on the website of the Connecticut Judicial Branch.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 1: Section I is for completion by the plaintiff or their attorney. If the case occurred in a judicial district court, check the first box.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 2: If the case occurred in a housing session court, check the second box.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 3: If the case occurred in a Geographic Area Number court, check the box and enter the number.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 4: Enter the address of the court, including the street number and name, town name and zip code.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 5: Enter the name of the case.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 6: Enter the names of all defendants who must pay judgment.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 7: Section II is for completion by the court clerk. On line 1, the amount due on claims will be entered.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 8: On line 2, the amount of interest due will be entered.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 9: On line 3, the amount of reasonable attorney's fees due will be entered. On line 4, the amount due for other reasonable charges will be entered.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 10: Add lines 1 through 4. Enter the resulting sum on line 5. On line 6, the plaintiff's costs will be entered. This will be added to line 5 and the resulting amount due entered on line 7.

Connecticut Notice Of Judgment And Order For Weekly Payments JD-CV-50 Step 11: The weekly payments due will be entered below. Section III will be completed once copies of this form have been delivered to all involved self-represented parties and attorneys.

INSTRUCTIONS: CONNECTICUT UNIFORM FORECLOSURE STANDING ORDERS (Form JC-CV-104)

Connecticut state document JC-CV-104 outlines the procedures under which a uniform foreclosure is to take place. This document can be found on the website maintained by the Connecticut Judicial Branch.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 1: Paragraph A concerns efiling, which became mandatory in all foreclosure matters as of September 1, 2009. This paragraph also outlines the documents which are necessary to obtain a Judgment of Foreclosure.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 2: Paragraph B concerns form JC-CV-103, a notification which states "You Are Being Sued and You Are In Danger Of Losing Your Property." This document must be attached to the top of any summons and complaint filed in a residential foreclosure action.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 3: Paragraph C concerns the plaintiff's preliminary statement of debt, which must include the principal interest, per diem, escrow advances and corporate advances.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 4: Paragraph D concerns steps that must be taken within 10 days following the entry of judgment of foreclosure by the plaintiff. This paragraph outlines information that must be outlined in a letter of notification which must be sent to all non-appearing defendant owners of the equity and a copy of the notice.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 5: Paragraph E concerns what will occur if the court grants a plaintiff's motion to open a judgment for the purpose of vacating it due to a loss mitigation initiative being taken with any of the borrowers.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 6: Paragraph F concerns the documents the plaintiff must prepare in the event that there is a hearing to open judgment after bankruptcy in order to set a new sale or law date after receiving relief from the bankruptcy stay. At this time, the plaintiff will be required to present to the court an updated affidavit of debt.

Connecticut Uniform Foreclosure Standing Orders JC-CV-104 Step 7: Paragraph G concerns the redemption period, during which the purchaser of the municipality must have a sufficient insurable interest in buildings and improvements on the property to insure them against damage or loss from fire or other natural threats and how to petition for relief from the Supreme Court if necessary.