
Ional copies if needed ALTERATIONS, WHITE-OUTS, OR ERRORS WILL NOT BE ACCEPTED UBI #: 1. Full Legal Name (First, Middle, Last) Exactly as shown on your driver s license or other government-issued identification 2. Social Security Number 3. Date of Birth 5. Residence Address (no PO Box) 6. Title Owner Partner 4. Driver s License Number City Spouse Member State Agent Zip Code Officer NOTE: Corporation/LLC s are required to submi.
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How to fill out the WA F625-109-000 online
This guide provides you with a detailed and supportive approach to completing the WA F625-109-000 form, commonly known as the Contractor Registration Officers/Members Addendum. This document is essential for individuals associated with contractor registrations in Washington State.
Follow the steps to fill out your WA F625-109-000 form easily.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Enter your full legal name in the first field. Ensure it matches exactly as shown on your driver’s license or other government-issued identification.
- Input your Social Security Number in the designated field. This information is required by law.
- Provide your date of birth in the specified area. This is a mandatory detail for registration.
- Fill in your current residence address. Note that a P.O. Box is not acceptable.
- Select your title from the options provided: Owner, Partner, Spouse, Member, Agent, or Officer. Make sure to choose accurately.
- Enter your driver’s license number or the ID number from a government-issued photo identification if you do not possess a driver’s license.
- Affirm your statements in the Affidavit of Signature section. You must certify that all information provided is accurate under penalty of perjury. This section must be signed in front of a notary public.
- Provide the date of signing and your printed name under the Affidavit of Signature.
- Have the notary public sign and seal your document, ensuring your signature is properly notarized.
- Review all entered information carefully to confirm accuracy and completeness before submission.
- Once reviewed, you can save your changes, download, print, or share the completed form as necessary.
Complete your WA F625-109-000 form online today to ensure a smooth registration process.
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