PDF-(Use only if the mailing address is different from the address above.)

I am a member of the armed forces or the spouse or dependent living where such member is stationed who due to military contingencies needs additional time to vote by absentee ballot I therefore re. 05 per certificate Certified copy 3875 per document Long Form 3875 per certificate Courier Service 2000 Payment Type Submitted by Credit Card Submitted by Cheque Mail Visa American Express Mail In person Money Order In person MasterCard Fax Credit C 00 FILE NO DATE FILED Name of Businesses Street Address Ci ty State Zip Code REGISTERED OWNERS 1 2 Full NameCorpLLC Full NameCorpLLC Res M Standard Time at the address of the Applicant ANSWER ALL QUESTIONS IF THEY DO NOT APPLY INDICATE NOT APPLICABLE Applica nt is a ndividual Corporation Partnership Joint Venture Li mited Liability Company Other Specify b wne Tenant c arber Shop Beaut ( ) To record additional vehicles, complete the reverse side of this form VEHICLE MAKE TITLE NUMBER LAST FOUR DIGITS OF VEHICLE IDENTIFICATION STATE MAILING ADDRESS CITY ZIP CODE COUNTRY RN-26S City: Subject Building: Number and Street Apartment or Room Number City, State, Zip Code Note: Notice Form RN-26-Long Form should be used to compute the Maximum Base Rent (MBR) for an apart Please Print SurnameGiven Names Mailing Address CityProvince/StateCountryPostal Code Civic Address (If different than above) CityProvince/StateCountryPostal Code Home NumberWork NumberFax NumberE-mail Address (Mailing Address) (City) (State)(Zip) Other Telephone E-Mail Address Are you legally entitled to work in the U.S.? Yes No POSITION Position Or Type Of Employment Desired Are Bad Addresses Sabotaging Your Mailings?. Agenda. What is UAA mail?. What are the costs?. Building an address quality process. Additional resources. Selling address quality . What is UAA Mail?. Undeliverable-As-Addressed. Mailing Address: Agency Name: Address: Phone No.: PROPOSED EFFECTIVE DATE:From ANSWER ALL QUESTIONS BUSINESS ADDRESS POST OFFICE/MAILING ADDRESS BUSINESS ADDRESS POST OFFICE/MAILING ADDRESSLIST BUSINESS OR POST OFFICE ADDRESS and “X” TYPE BELOWNAME OF DEALER, BROKER OR SYNDICATE MANAGER IF Intelligent Mail for Small Business (IMsb). Intelligent Mail. ®. for Small Business Tool. The IMsb tool is a new, . free . online tool specifically designed for small-volume . mailers. It’s a web based program. . Intelligent Mail for Small Business (IMsb). Intelligent Mail. ®. for Small Business Tool. The IMsb tool is a new, . free . online tool specifically designed for small-volume . mailers. It’s a web based program. . CitizenVIP ESL Your Address Your Address What is your home address? Has your address changed since you sent in your application? What is your address right now? What is your current address? Where do you live? Full Legal NameBy signing below the Applicant verifies that the Applicant is the person whose name appears above and that the address provided is theApplicants current mailing addressprinted or typedD