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Coral Springs Florida Form Example Attachments 1023: What You Should Know

Phone:. Email: Email: Fax:. Email: TJ.mcginnwest-dredged.com Section 4: Donor Information. 1. Donor Identification Number: 2. Donor Signature: 3. Donor Certification Number: 4. Donor Certification Date: 5. First Name: Surname: City: Address to include: Street Address (no house number): Suburb: ZIP Code: Birthplace: 6. Middle Name: Preferred Name or Address to include: 7. Last Name: Preferred Name or Address to include: 8. Surname/First Names of parents: 9. Surname/First Names of children: 10. Date of Birth: Section 5: Project Information. This section requires you to indicate who, if anyone, will be the administrator. The school should be the administrator. The date should be the date of the school's admission to the state's tax incentive program. (May not be earlier than August 1). Section 6: Additional Information. Provide three to five details, including but not limited to the name, address, phone number, and e-mail address of anyone who will be the parent/guardian to the child, including a sibling, half-brother or half-sister child of another donor if they are minors. For your convenience, have your names for the following list of people written on separate sheets of paper. The other donor is also entitled to receive a portion of the proceeds of the project. If a minor child (1-14 years), you can submit a signed statement regarding the health and safety of the minor child. If a child is 14-16 years old, you must state that you are the donor's primary caregiver and that the child lives with you, or will live with you, in the future. (Your current residence address is not required). If the child is a minor who is the child's parent and not the donor's primary caregiver, you must also state that the child lives with you. Section 7: Tax Exemption. Fill in the blank with the name(s) of any person or organization that has applied for an exemption.

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