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Form Publication 501 for Brownsville Texas: What You Should Know

Coral Florida on Sept. 12, 2017. The application for certification is hereby submitted. (Applicant Signature) Please be advised that because of the special circumstances set forth herein, pursuant to Section 501-5 of the Florida Statutes, if any part of any taxable year in which the applicant is liable to tax is a part of more than one state the application for certification must be filed with the Florida Department of Taxation and Finance in the appropriate office at this address within thirty-one days of the end of each such taxable year in which the applicant is liable to tax. (Applicant Signature) On or before October 15, 2017, all information provided, including but not limited to, a certified letter from a physician certifying that the applicant is physically and mentally capable of working, must be submitted to The Department of Financial Services, Bureau of Administrative Operations, 901 N. Florida Ave., Rm. 7, Ft. Lauderdale, Florida 33300. I hereby certify that, to the best of my knowledge, the information in this application is true, correct and complete. In my official capacity as an applicant, I hereby swear or affirm that the information to be provided to the department is complete and correct and that I understand it. I understand that any failure to fully complete any part of this application will cause me to be disqualified or excluded from the registration, and that failure would be grounds for cancellation of my certificate. I have read this application, and have not relied upon anything contained therein and understand it to include, but not be limited to the requirements required for registration as an Independent Contractor. By signing this application, I agree to be legally bound by the laws of the United States and the State of Florida and the rules of the Department of Financial Services. This is the completed and signed application required to be completed by each applicant for an independent contractor. It should become part of the records of the Department of Financial Services Bureau of Administrative Operations, 901 N. Florida Ave., Rm. 7, Ft. Lauderdale, Florida 33300. I hereby authorize the bureau to act as the agent of the state of Florida for purposes incidental to the registration as an Independent Contractor. Signed by: You will see some strange and very odd words in this application but don't worry, it is all legal language you will find in all the contracts you sign on a day-to-day basis.

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