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Tempe Arizona online Form Instructions 1125-E: What You Should Know

If the entity's total receipts are below 500,000, Form 1125-E and Form 8300 shall be Signed by: Signed as of:  Name: (Your Name) Title: (Your Full Name or Surname) (Signed in Block Br. on front and on back.)  (Signed on 2/17.) This is to certify that I am a United States Citizens or Resident at (Address) in and that I reside at (Address) (City) in Arizona, and that I am a Qualified US Corporation (or Partnership) at (Address) and that I am (or will be) an officer, director or shareholder of (Name of entity) and that I am (or will be), acting as a qualified. investor of (Name of qualified investment) and that I shall not be making this statement  (Name of US CITIZEN or US RESIDENT).

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