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Get Sellers Of Travel Independent Sales Agents Statement Of Exemption Form

Florida Department of Agriculture and Consumer Services Division of Consumer Services Make check or money order payable and remit with application to SELLERS OF TRAVEL INDEPENDENT SALES AGENTS STATEMENT OF EXEMPTION FDACS P. O. Box 6700 Tallahassee FL 32314-6700 s. 559. 928 3 Florida Statutes 5J-9. 002 2 ADAM H. PUTNAM COMMISSIONER 1-800-HELP-FLA 435-7352 850-410-3800 Calling Outside Florida www. 800helpfla*com 850-410-3804 Fax As of July 1 2008 an annual filing fee of 50 is required for each independent sales agent s. 559. 928 F*S*. PLEASE TYPE OR PRINT. Additional pages may be attached if extra space is needed* All fees are non-refundable. I THE UNDERSIGNED Name of person making statement First Name M. I. Last Name of Title Name operating under if different than above in Located at Business Address of Independent Agent City State Zip Code Mailing Address of Independent Agent Email Address Business Telephone Number Seller of Travel you Represent Their Seller of Travel or ARC Their Address Additional pages may be attached if extra space is needed* AND THEREFORE I 1. Act for or on behalf of a seller of travel that is operating in compliance with Sections 559. 926-559. 939 Florida Statutes the Sellers of Travel Act AND 2. Have a written contract with the seller s of travel listed above please provide us a copy of the contract AND Do not receive a fee commission or other valuable consideration directly from the purchasers of travel or travel related services AND Do not at any time have any un-issued ticket stock in my possession AND Do not have the ability to issue tickets lodging or vacation certificates or any other travel documents. Signature of Independent Sales Agent Date STATE OF The foregoing instrument was acknowledged before me this by day of who is personally known to me or who has produced made due oath or affirmation* as identification and who Seal Notary Public My Comm* Expires DACS-10211 Rev* 07/11 Org Code 42 10 06 25 000 EO A2 Object Code 001115 50. O. Box 6700 Tallahassee FL 32314-6700 s. 559. 928 3 Florida Statutes 5J-9. 002 2 ADAM H. PUTNAM COMMISSIONER 1-800-HELP-FLA 435-7352 850-410-3800 Calling Outside Florida www. 800helpfla*com 850-410-3804 Fax As of July 1 2008 an annual filing fee of 50 is required for each independent sales agent s. 800helpfla*com 850-410-3804 Fax As of July 1 2008 an annual filing fee of 50 is required for each independent sales agent s. 559. 928 F*S*. PLEASE TYPE OR PRINT. Additional pages may be attached if extra space is needed* All fees are non-refundable. 559. 928 F*S*. PLEASE TYPE OR PRINT. Additional pages may be attached if extra space is needed* All fees are non-refundable. I THE UNDERSIGNED Name of person making statement First Name M. I. Last Name of Title Name operating under if different than above in Located at Business Address of Independent Agent City State Zip Code Mailing Address of Independent Agent Email Address Business Telephone Number Seller of Travel you Represent Their Seller of Travel or ARC Their Address Additional pages may be attached if extra space is needed* AND THEREFORE I 1.

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