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IMPORTANT: Follow instructions in filling out this form. You should be aware that the making of any false, fictitious, or fraudulent claim or statement to the United States is a crime that is punishable by fine and/or imprisonment. Print in ink or type all information. 1. DESCRIPTION OF BONDS. I am the owner or person entitled. General Instructions for NIH and Other PHS Agencies - Forms Version E Series. G.110 - Application Process. Obtain Software. Applicants must have the free Adobe Reader software, a PDF generator, and a web browser to submit an application. Learn which versions are compatible with our systems. By providing my electronic signature, I understand the personal information on my application form and my electronic signature will be used for submitting my. (physician must complete form DL-101 prior to the issuance of a DL/ID). 9. a) Do you want. available at: http://www.sss.gov/FactSheets/FSaltsvc.pdf. DL-14A (Rev. Application for Judicial Branch Federal Employment. 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VERIFICATION. Instructions for Requesting a Federal Tax Return or Non-Filing Letter from the IRS (PDF). Select the form(s) that you wish to download. Select only the form(s) we have requested. Use this form to gather necessary information when you sell your vehicle or vessel. Completing this form does not transfer the title or act as a Report of Sale. To complete the transaction, the buyer and seller have the following responsibilities: Seller. Submit a completed Report of Sale within 5 days from the date of sale. 1 Federal taxable income (from line 43 of federal Form 1040, line 27 of Form 1040A, or line 6 of Form 1040EZ) (if a negafive number, place an X in the box).............. 1. 2 State income tax or sales tax addition. If you itemized deductions on federal Form 1040, complete the worksheet in the instructions................................... 2. SECTION 2: BORROWER AUTHORIZATIONS, UNDERSTANDINGS, AND CERTIFICATION. Before signing, carefully read the entire form. 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