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Form Parameters
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Fee Schedule
Electronic Signature
Name of Form
Form ID
Description
Timed Complete?
Yes
No
By Date
Within from start
day
week
month
year
Fee $
Yes
No
Electronic Signature
Yes
No
Auto Disable Date
Published
Revenue Code
Fee Type
Flat
Variable
Flat Rate $
The Electronic Signature will require the Public User to type their name to serve as their signature. It will also capture the date, time, and their computer IP address when they click Sign and Submit.
Editable Legal Statement Preceding Signature
By submitting this form, you are attesting that all information is true and accurate to the best of your knowledge. Acknowledge your consent, submission, and signature by typing your full name below.
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Build Version 25-03-12-96de9350c7