
DD STAPLES, COMMISSIONER SECTION A 1 VERIFICATION INFORMATION Full Legal Business Name TDA Client No. TDA License No. (TPCL) Please provide only the information below that has changed. SECTION B 1 APPLICANT INFORMATION Full Legal Business Name (owner s name if sole proprietor no aliases) DBA (if applicable) 1 CHANGE OF OWNERSHIP CANNOT BE REGISTERED WITH THIS FORM If the tax identification number of your business has changed, a new application and fee is required. A new tax iden.
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How to fill out the Jav Scp 002 online
Filling out the Jav Scp 002 form online can be a straightforward process when you know what to do. This guide will provide you with step-by-step instructions to ensure you fill out the form accurately and efficiently.
Follow the steps to complete the form successfully.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Provide your verification information in Section A. Enter your full legal business name and any relevant TDA client or license numbers, but only include information that has changed.
- In Section B, fill out your applicant information. If you are the sole proprietor, provide your full legal name without aliases, and include any ‘Doing Business As’ (DBA) names if applicable.
- Note that a change of ownership cannot be registered with this form. If your tax identification number has changed, you must submit a new application along with the appropriate fee.
- Proceed to Section C to provide information about the owner, president, CEO, or similar role. Fill in the first name, last name, phone number, email address, and mailing address.
- Transition to Section D if there is a change in the responsible certified applicator. Include the name, license number, signature, and date.
- If applicable, fill out Section E to change the person to contact for license-related matters. Include their title, primary phone number, secondary phone number (if desired), fax number, and email address.
- Next, in Section F, provide location information including the facility name and the physical address. Remember to avoid using a P.O. Box for this address.
- Finally, complete Section G by certifying your submission. Print your name, title, sign, and date the form.
- After filling out all sections, review the form to ensure all information is accurate. You may then save your changes, download, print, or share the completed form as needed.
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