Provide original broker's statement or signed settlement sheet as verification. The Statement in Lieu of Account form is provided on this website.Circuit Court fillable forms allow you to enter information on a form while displayed in Adobe Acrobat and then print the completed form out. 1. Copies – Original and one copy to the Commissioner of Accounts. 2. Yes, please fill out the Owner Exemption Statement Form. 2) Complete and open communication between Fairfax and subsidiaries is an essential requirement at Fairfax. Former FCPS employees may fill out this form to request reissue of W-2. Getting Started. Register. We wish them all the best in the future. Fairfax campus shot cantwell.