Loading
Form preview picture

Get Pa Taxidermy License

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF AGRICULTURE BUREAU OF ANIMAL HEALTH AND DIAGNOSTIC SERVICES 2301 NORTH CAMERON STREET ROOM 408 HARRISBURG PA 17110-9408 717 783-5309 APPLICATION FOR TAXIDERMY LICENSE The undersigned hereby applies for a license to conduct the business of taxidermy in accordance with the provisions of Act 77 of 2006. This license will take effect upon approval and upon issuance of the license for one year from the date of issue. 1. Name of applicant First Middle Initial Last 2. If corporation give full corporation name if partnership give firm name 3. Business address Street City State Zip Code 4. Mailing address 5. Telephone Number County Fax Number E-mail address 6. If not a corporation is applicant doing business under a trade name Trade name 7. For purposes of this section please supply your tax identification number which may include any one of the following a* Federal Employer Identification Number b. Unemployment Compensation Account Number c* Social Security Number d. State Personal Income Tax Identification Number e. State Sales Tax Number f* Corporation Tax Number g. State Employer Withholding Number FEE 100. 00 per year you may apply for a one two or three year license I have enclosed for a one two or three year license. Make Checks Payable To COMMONWEALTH OF PENNSYLVANIA I MAKE THE FOREGOING REPRESENTATIONS SUBJECT TO THE PENALTIES OF 18 Pa*C. S*A. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES Date of Application Signature of Applicant/Parent/Guardian Signature of parent or guardian required if applicants is under 18 years of age. PLEASE SEND COMPLETED APPLICATION AND FEE TO Pennsylvania Department of Agriculture Bureau of Animal Health and Diagnostic Services 2301 North Cameron Street Room 408 Mary Martin Harrisburg PA 17110-9408 OFFICE USE ONLY -- APPLICANT DOES NOT WRITE BELOW THIS LINE Signature of Program Administrator Date signed Check Check Amount Date Received. This license will take effect upon approval and upon issuance of the license for one year from the date of issue. 1. Name of applicant First Middle Initial Last 2. If corporation give full corporation name if partnership give firm name 3. 1. Name of applicant First Middle Initial Last 2. If corporation give full corporation name if partnership give firm name 3. Business address Street City State Zip Code 4. Mailing address 5. Telephone Number County Fax Number E-mail address 6. Business address Street City State Zip Code 4. Mailing address 5. Telephone Number County Fax Number E-mail address 6. If not a corporation is applicant doing business under a trade name Trade name 7. For purposes of this section please supply your tax identification number which may include any one of the following a* Federal Employer Identification Number b. If not a corporation is applicant doing business under a trade name Trade name 7. For purposes of this section please supply your tax identification number which may include any one of the following a* Federal Employer Identification Number b. Unemployment Compensation Account Number c* Social Security Number d. State Personal Income Tax Identification Number e.

How It Works

undersigned rating
4.8Satisfied
43 votes

Tips on how to fill out, edit and sign Applicants online

How to fill out and sign Relating online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The days of frightening complicated legal and tax documents have ended. With US Legal Forms the entire process of creating legal documents is anxiety-free. A powerhouse editor is directly at your fingertips offering you a range of useful tools for filling out a Pa Taxidermy License. These guidelines, along with the editor will assist you through the whole process.

  1. Hit the Get Form button to start modifying.
  2. Turn on the Wizard mode on the top toolbar to obtain additional recommendations.
  3. Fill in each fillable area.
  4. Ensure that the information you fill in Pa Taxidermy License is updated and correct.
  5. Indicate the date to the record using the Date feature.
  6. Click on the Sign icon and make a digital signature. You can find three available choices; typing, drawing, or capturing one.
  7. Be sure that each field has been filled in properly.
  8. Select Done in the top right corne to save the form. There are several choices for getting the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

We make completing any Pa Taxidermy License much easier. Get started now!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Applicant FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Pa Taxidermy License

  • issuance
  • falsification
  • undersigned
  • foregoing
  • Taxidermy
  • representations
  • Applicant
  • payable
  • Applicants
  • Penalties
  • Agriculture
  • relating
  • Mailing
  • diagnostic
  • enclosed
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.