Required for Everyone:
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Box 1:
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Enter date
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Box 2:
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Name in Which Applicant’s Mail Will Be Received for Delivery to
Agent. (Most of the cases your
company name.
)
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Box 3:
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Enter your mailing address provided by your mail forwarding service.
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Box 4:
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Enter the mailing address of your mail forwarding agent.
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Box 5:
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Enter ‘Yes’ and
sign inside the box if you
want the agent to accept registered mail for you
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Box 6:
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Enter your name
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Box 7:
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Enter your address and phone number
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Box 8:
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Enter
the number of your 2 types of identification. Make copies of
those identifications to send with your form. Please be sure to
include expiration date of the IDs.
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Only Required for Businesses:
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Box 9:
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Enter your company name
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Box 10:
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Enter your company’s address and phone number
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Box 11:
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Enter the type of business
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Box 12:
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For the business, enter the names of the people who will receive mail
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Box 13:
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Enter the names and addresses of the company officers
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Box 14:
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Enter the registered business name and address, plus the country, state
and date of registration
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Required for Everyone:
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Box 15:
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Get the form signed by agent or notary public
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Box 16:
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Váš podpis
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Because
the service is required to have the originals, send the completed
form, along with the copies of your identification to your mail
forwarding service.
Shipito LLC,
3501 Jack Northrop Ave,
Hawthorne, CA 90250 USA
Please be sure to follow
above instructions.
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