Laserfiche WebLink
Corporation ❑ Unincor Association . <br />111 0a ()`1 <br />❑Religious <br />(�1 Veterans Organization <br />u <br />Educational Organization <br />Civic Organization <br />Organization <br />(non-profit) <br />Charitable <br />Organization <br />❑ Volunteer <br />Fire Company <br />Fraternal Organization <br />Other <br />G TAX FORM SENT <br />BY <br />INV <br />AUTHORIZED OFFICER OF ORGANIZATION SIGN ULLUW <br />spaw <br />of Orr <br />Title _ EJ -E.. C_o_�JE Li�e,L':.1✓�..... ... _. _. _. <br />TELEPHONE gREq HOME PHONE <br />NUMBERS <br />DATE OF 0i.. .............. IRS <br />NUMBER OF OCCASIONS AREA 9VSINESS TEL NO <br />NEXT TWELVE T 2) MONTHS _.. __. <br />