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Form 71-1003f Affidavit

Form 71-1003f Affidavit

 

INSTRUCTIONS: ARIZONA AFFIDAVIT (Form 71-1003)

 

 

As part of the Arizona bingo license application, an affidavit must be filed by each person who wishes to assist in the conduct of any game of bingo. This form 71-1003 can be obtained from the website maintained by the Arizona Department of Revenue.

 

Arizona Affidavit 71-1003 Step 1: Enter the licensee's name in the first blank box.

 

Arizona Affidavit 71-1003 Step 2: Enter the license number in the second blank box.

 

Arizona Affidavit 71-1003 Step 3: In the third blank box, indicate with a check mark whether the licensee is a manager, supervisor, proceed coordinator or assistant.

 

Arizona Affidavit 71-1003 Step 4: In the fourth blank box, enter the affiant's name.

 

Arizona Affidavit 71-1003 Step 5: In the fifth blank box, enter the affiant's Social Security number.

 

Arizona Affidavit 71-1003 Step 6: In the sixth blank box, enter the affiant's street address.

 

Arizona Affidavit 71-1003 Step 7: In the seventh blank box, enter the affiant's date of birth.

 

Arizona Affidavit 71-1003 Step 8: In the eighth blank box, enter the affiant's city, state and zip code.

 

Arizona Affidavit 71-1003 Step 9: In the ninth blank box, enter the affiant's home phone number, including the area code.

 

Arizona Affidavit 71-1003 Step 10: In the tenth blank box, enter the affiant's work phone number, including the area code.

 

Arizona Affidavit 71-1003 Step 11: The next five blank boxes are for qualified organizations only. In the first blank box, indicate with a check mark whether or not you are a member.

 

Arizona Affidavit 71-1003 Step 12: In the second blank box, enter the date you joined the organization.

 

Arizona Affidavit 71-1003 Step 13: In the third blank box, indicate with a check mark whether or not you are officers.

 

Arizona Affidavit 71-1003 Step 14: In the fourth blank box, if applicable, enter your officer title.

 

Arizona Affidavit 71-1003 Step 15: In the fifth blank box, indicate with a check mark whether you have an affidavit on file for any other licensee. If yes, list the license numbers.

 

Arizona Affidavit 71-1003 Step 16: On the first blank line, enter the affiant's name.

 

Arizona Affidavit 71-1003 Step 17: On the second blank line, the affiant should enter their signature.

 

Arizona Affidavit 71-1003 Step 18: On the last blank line, enter the date.

 

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Rental Car Company Permit Application

Rental Car Company Permit Application

 

INSTRUCTIONS: CONNECTICUT APPLICATION FOR RENTAL CAR AGENCY PERMIT

 

 

To apply for a rental car agency permit in Connecticut, use the application discussed in this article. This document can be obtained from the website maintained by the government of Connecticut.

 

Connecticut Application For Rental Car Agency Permit Step 1: Enter the applicant rental agency name on the first blank line.

 

Connecticut Application For Rental Car Agency Permit Step 2: Enter the applicant mailing address on the second blank line.

 

Connecticut Application For Rental Car Agency Permit Step 3: Enter the applicant phone number on the third blank line.

 

Connecticut Application For Rental Car Agency Permit Step 4: Enter the applicant federal tax identification number on the fourth blank line.

 

Connecticut Application For Rental Car Agency Permit Step 5: On the next four blank lines, list all business locations of the applicant pertinent to this application. Attach an additional sheet of paper if necessary for further documentation.

 

Connecticut Application For Rental Car Agency Permit Step 6: On the next blank line, indicate whether a training program has been implemented for employees involved in the marketing of insurance as required by Connecticut Regulation 38a-799-5.

 

Connecticut Application For Rental Car Agency Permit Step 7: On the next three blank lines, list all authorized insurance companies which the applicant will represent.

 

Connecticut Application For Rental Car Agency Permit Step 8: The applicant should enter their signature on the next blank line. This person can be an officer, partner, owner or principal of the applicant.

 

Connecticut Application For Rental Car Agency Permit Step 9: Enter the date on the next blank line.

 

Connecticut Application For Rental Car Agency Permit Step 10: On the last blank line, print the name and title of the applicant.

 

Connecticut Application For Rental Car Agency Permit Step 11: Forward an appointment application to the insurance company or companies for whom you will be transacting business. The company will complete and return this application.

 

Connecticut Application For Rental Car Agency Permit Step 12: Once you have received the completed appointment applications, attach them to this application.

 

Connecticut Application For Rental Car Agency Permit Step 13: Mail both applications to the address given at the top of the page. Along with these forms, you must include a check for $80. This check should be made payable to "Treasurer, State of Connecticut."

 

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SEEC Form 22 Instructions Independent Expenditure Statement (INDIVIDUALS)

SEEC Form 22 Instructions Independent Expenditure Statement (INDIVIDUALS)

 

INSTRUCTIONS: CONNECTICUT INDEPENDENT EXPENDITURE STATEMENT (INDIVIDUALS) (SEEC Form 22)

 

 

To document expenditure by an independent individual in a Connecticut election, a SEEC form 22 is used. This document can be obtained from the website of the government of Connecticut.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 1: In box 1, enter the name of the individual.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 2: In box 2, enter the date of the election or referendum.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 3: In box 3, enter the street address, city, state and zip code of the individual.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 4: In box 4, indicate the type of report you are filing with a check mark next to the appropriate statement. Only check one box.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 5: In box 5, enter the beginning and ending dates of the period you are covering in this statement.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 6: In box 6, the individual should sign the first blank line.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 7: The individual should print their name on the second blank line.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 8: The individual should enter the date on the third blank line.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 9: Skip to the second page and complete Section A, which concerns independent expenditures paid by the individual. Note that you should enter the name of the individual and the type of report being filed at the top of every page after the first page.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 10: Transfer the total value from Section A to line 7 of the first page. 

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 11: Complete Section B on the third page before completing lines 8 and 9 on the first page.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 12: Document expenditures incurred by the individual during the period being documented but not paid on line 8.

 

Connecticut Independent Expenditure Statement (Individuals) SEEC Form 22 Step 13: Document the total outstanding expenditures incurred by the individual that are still unpaid on line 9.

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Form JD-CV-20 Proceedings for Enforcement of Municipal Parking Regs

Form JD-CV-20 Proceedings for Enforcement of Municipal Parking Regs

 

INSTRUCTIONS: CONNECTICUT PROCEEDINGS FOR ENFORCEMENT OF MUNICIPAL REGULATIONS AND ORDINANCES (INCLUDING PARKING) (Form JD-CV-20)

 

 

A form JD-CV-20 is used when tickets for violations of Connecticut municipal regulations and ordinances have been issued. This document can be obtained from the website of the Connecticut Judicial Branch.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 1: Section I should be completed by the town. In the first two blank boxes, enter the town's name and code.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 2: In the next two blank boxes, enter the name of the judicial district and the address of the court.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 3: In the next blank box, enter the date of the request.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 4: In the next blank box, the hearing officer should enter their signature.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 5: In the next blank box, enter the hearing officer's telephone number.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 6: In the next blank box, indicate with a check mark whether or not a weekly order is requested.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 7: In the blank space provided, enter the name and address of the person found liable.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 8: The table provided below is for documentation of tickets issued. Enter the ticket number in the first column.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 9: Enter the date of the violation in the second column.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 10: Enter the date the notice of assessment was mailed in the third column.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 11: Enter the fines, penalties, costs or fees due in the fourth column. Total these in the box where indicated and enter the number of copies of Notice of Assesssment attached.

 

Connecticut Proceedings For Enforcement Of Municipal Regulations And Ordinances (Including Parking) JD-CV-20 Step 12: Section II will be completed by the court clerk.

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Form JD-CV-52 Affidavit of Debt/Motion for Default/Failure to Appear

Form JD-CV-52 Affidavit of Debt/Motion for Default/Failure to Appear

 

INSTRUCTIONS: CONNECTICUT AFFIDAVIT OF DEBT RE: MOTION FOR DEFAULT FOR FAILURE TO APPEAR, JUDGMENT AND ORDER FOR WEEKLY PAYMENTS (Form JD-CV-52)

 

 

When a debtor in a Connecticut case fails to appear in court when ordered or does not respond to a judgment and order for weekly payments, the plaintiff creditor can file a form JD-CV-52 to request that a motion of default be filed against them. This document can be obtained from the website of the Connecticut Judicial Branch.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 1: In the first blank box, enter the return date.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 2: In the second blank box, enter the docket number.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 3: Indicate with a check mark whether you are appearing in a judicial district court, a housing session court, or a G.A. court in the third blank box.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 4: Enter the address of the court in the fourth blank box.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 5: Enter the name of the case in the fifth blank box.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 6: Enter the name of all defendants against whom the motion is being filed in the sixth blank box.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 7: The next section is the affidavit. Indicate whether the person completing this section is the plaintiff or another party, such as their attorney. Enter the title of the person completing this section if the latter.

 

Connecticut Affidavit Of Debt Re: Motion For Default For Failure To Appear, Judgment And Order For Weekly Payments JD-CV-52 Step 8: Provide a written explanation of how the defendant is indebted to the plaintiff. Sign and print your name before a notary or a commissioner of the Superior Court.

 

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