0000021579 00000 n 94 Tz -258.72 -0.24 Td (ZIP)Tj ... DMV verifies trailers with an unladen weight of 6,000 pounds or less. 98 Tz -188.402 0 Td 191.999 208.8 l S 0000014877 00000 n You will recieve an email notification when the document has been completed by all parties. 412.08 555.36 m (Yes)Tj applicant information and signature date: under penalties of perjury, i declare that i have read the foregoing document and that the facts provided herein are true. (Year:)Tj 92 Tz -93.118 -0.238 Td 550.8 169.328 m (D-1 -)Tj 550.318 91.919 m (Date)Tj 394.8 -17.52 Td 192.24 255.362 11.04 11.279 re 0000135620 00000 n 97 Tz 372.96 -22.079 Td -274.802 0 Td 99 Tz 378.24 81.094 Td 0000049543 00000 n /TT16 12 Tf This form is not required if married. (STATE)Tj S 65.52 331.92 l 100 Tz 149.698 517.606 Td 90 Tz -259.2 0 Td 98 Tz -215.52 -18 Td 98 Tz -284.64 -0.24 Td Use a keyword in the search box. DMV USE ONLY)Tj -0.479 -11.999 Td 98 Tz -3.12 -48.478 Td OmniForm (Comments:)Tj 98 Tz -474.962 -0.72 Td (No)Tj Save or instantly send your ready documents. no material information regarding the motor vehicle, motorcycle, or … 550.8 421.2 m 92 Tz -163.44 0 Td 304.319 613.68 l no material information regarding the motor vehicle, motorcycle, or … S 108 1 0000133750 00000 n /TT9 10 Tf BT 191.999 208.8 l (Replacement VIN Plate/Decal)Tj 0000080496 00000 n (Audit #-)Tj 551.04 377.28 m (Yes)Tj /TT20 10 Tf 90 Tz -259.438 0 Td 93 Tz 50.162 0 Td S 91 Tz 50.162 0 Td 164.398 -0.24 Td 93 Tz 50.4 0 Td 45.119 612 l (Date:)Tj 96 Tz -113.04 -0.24 Td ET (D-1 -)Tj S 106 Tz -0.72 -12.719 Td 303.84 499.2 m 45.119 612 l OmniForm Converter for PDF 12 1 0000076530 00000 n (HSMV 84490 S \(Rev. S Form 84490 (Florida) S 441.839 517.439 m S 96 Tz 419.76 8.878 Td form 84490 statement of builder form hsmv 84491 florida form florida hsmv 84491 84901 Related to hsmv 84491 form central bank of india account opening form filling sample from Representation In a Patent Application. 551.04 377.28 m 45.119 612 l 2003-01-10T10:53:29-05:00 551.282 584.399 m 14.2798 TL 551.04 254.88 m 0000021428 00000 n 456 291.84 11.04 11.279 re 452.16 377.28 l 0 -18.24 TD S S 96 Tz 258.48 -25.2 Td 0000023799 00000 n (Date:)Tj 551.04 254.88 m (THE MOTOR VEHICLE, MOTORCYCLE, OR MOBILE HOME HAS BEEN OMITTED. 504 291.84 11.04 11.279 re (Body:)Tj 90 Tz -259.2 0 Td 19.6621 4.596 Td (Please mark the appropriate answer:)Tj 0000141168 00001 n S 4 /1. List the major component parts used in the building/repair process \(if additional space is needed,) Tj 18 -13.92 Td 88 Tz (please use form HSMV 84491\).) 0 G 1 w 0.5 0.5 71 17 re s q 1 1 70 16 re W n 0 g BT 93 Tz 50.4 0 Td /HeBo 12 Tf S 304.319 613.68 l -115.92 0 Td 550.8 142.8 m S 98 Tz 71.042 -0.238 Td S 2003-01-10T10:53:29-05:00 280.8 354.48 m 97 Tz -50.4 0 Td Length 97 Tz 138.24 18 Td 45 155.517 l 2003-01-10T10:53:29-05:00 47.52 310.966 m (SECTION IV. (No)Tj 551.52 613.68 m S S 24.242 0 Td (Please mark the appropriate answer:)Tj BT (This ASPT/Vehicle resembles a:)Tj (Under penalties of perjury, I declare that I have made inspection of thi\ s motor vehicle, motorcycle, or mobile home)Tj 90 Tz -182.4 0 Td (Reset) Tj 164.398 -0.24 Td (Replacement VIN Plate/Decal)Tj 2003-01-10T10:30:46-05:00 44.16 142.8 l (STATEMENT OF BUILDER FORM HSMV 84490)Tj 91 Tz 74.4 0 Td S 0 g 281.04 377.28 m 2003-04-09T09:06:33-03:00 105 Tz 0.238 -12.719 Td 91 Tz 74.4 0 Td 97 Tz -474.959 -17.759 Td S 0 G 1 w 0.5 0.5 71 17 re s q 1 1 70 16 re W n 0 g BT 550.32 53.759 m /HeBo 12 Tf S /TT16 10 Tf (Reset) Tj S 45.119 584.16 l (Title State:)Tj (STATE)Tj 0.75 w S (D-2-)Tj 328.079 91.919 l f 96 Tz -113.04 -0.24 Td 0000011421 00000 n -274.802 0 Td 96 Tz 419.76 8.878 Td 0.75 w Our first recommendation is to try and complete your DMV needs online.The Florida DMV has automated many processes so that in most cases you don't have to go to the local DMV office. 99 Tz 347.522 -0.24 Td 328.32 53.759 l 503.28 555.36 l 0000048118 00000 n 0000137316 00000 n BT 0 g /ZaDb 14 Tf 1 0 0 1 -0.391 0.797 Tm (4) Tj ET endstream endobj 188 0 obj << /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 93 0 R >> >> /BBox [ 0 0 11 11 ] /MK << /CA (4)>> /Length 55 >> stream 107 Tz -0.238 -25.679 Td 0000008511 00000 n S 0000046037 00000 n 94 Tz 286.322 -39.362 Td 0000024572 00000 n S 551.04 499.2 l 408.48 377.28 m 455.76 273.6 11.04 11.279 re 0000140025 00000 n (HSMV 84490 S \(Rev.3\))Tj -0.479 -11.999 Td 303.12 192.002 11.04 11.279 re 0 G 1 w 0.5 0.5 71 17 re s q 1 1 70 16 re W n 0 g BT (SECTION III. (No)Tj 229.68 555.12 l 452.16 377.28 l 304.319 613.68 l (Mobile Home Use Only: Mobile Home was measured)Tj (PRINTED NAME OF APPLICANT/BUSINESS)Tj (Replacement VIN Plate/Decal)Tj (THE MOTOR VEHICLE, MOTORCYCLE, OR MOBILE HOME HAS BEEN OMITTED. (Comments:)Tj 0000132179 00000 n 281.04 398.88 m 243.119 255.362 11.04 11.279 re 14.2798 TL 281.04 420.959 m S /RelativeColorimetric ri ET (STREET ADDRESS)Tj 180.96 516.719 m -394.322 -0.72 Td BT 191.999 228.48 11.04 11.279 re endstream endobj 212 0 obj 5617 endobj 213 0 obj << /Length 214 0 R >> stream You can admit with an explanation to try to dismiss the fines and/or penalties. 65.76 420.959 l S 104.4 169.328 l 0000055853 00000 n 19.6621 4.596 Td ET 242.64 228.722 11.04 11.279 re 281.04 398.88 m 0000017808 00000 n S (SIGNATURE OF APPLICANT/BUSINESS)Tj 392.64 254.88 l 258.72 54 m (or)Tj 0000083522 00000 n /TT0 12 Tf All rights reserved. 0000070618 00000 n S 90 Tz -182.4 0 Td We are in the process of building the list below. 0 -18.24 TD 0000057125 00000 n (D-2-)Tj 100 Tz 149.698 517.606 Td (Date)Tj 65.76 377.28 l (No)Tj 550.32 53.759 m 551.04 377.28 m 551.282 584.399 m (No)Tj 91 Tz 50.162 0 Td (TELEPHONE NUMBER:)Tj ET (Federal Decal Intact)Tj Welcome to the Indiana Bureau of Motor Vehicles! S 164.398 -0.24 Td 281.04 377.28 m 97 Tz 138.96 721.653 Td (ZIP)Tj Q endstream endobj 232 0 obj << /Type /Annot /Rect [ 375.95407 -81.4274 475.95407 18.5726 ] /NM (19000e8) /F 4 /Subtype /FreeText /M (D:20030409090449-04'00') /DA ([1 1 1] rg /Helv 12 Tf) /BS 233 0 R /T (Dkinsey) /P 108 0 R /C [ 1 1 1 ] /AP << /N 234 0 R >> >> endobj 233 0 obj << /W 0 >> endobj 234 0 obj << /Length 60 /Type /XObject /Subtype /Form /FormType 1 /BBox [ -0.00015 -0.00015 100.00015 100.00015 ] /Matrix [ 1 0 0 1 0.00015 0.00015 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 199 0 R >> >> >> stream 414 354.24 m 77 Tz -259.2 0 Td 19 3 0000068414 00000 n 0000049228 00000 n (Page 2)Tj This form is used by (1) learning drivers age 18 who hold a learner’s permit, (2) learning drivers age 19 and older who hold a learner’s permit but have not completed a Virginia approved driver training course, and (3) qualifying home-schooled students to verify the observation and completion of safe driving maneuvers before applying to take the road skills test at DMV. S NO MATERIAL INFORMATION REGARDING) Tj 0.238 -12.719 Td 105 Tz (THE MOTOR VEHICLE, MOTORCYCLE, OR MOBILE HOME HAS BEEN OMITTED.) /TT13 10 Tf 550.8 169.328 m 0000068836 00000 n BT 0000141781 00001 n 97 Tz -474.959 -17.759 Td 0 -18.24 TD 441.839 517.439 m (D-4-)Tj S Go gainesville! 0000007513 00000 n S )Tj (Vehicle Painted Prior)Tj 0000071458 00000 n (Year:)Tj (Comments:)Tj 96 Tz -121.68 -9.119 Td 414 354.24 m (Signature below only attests to DMV inspection and does not apply to ver\ ification of Sections I, II, or III, completed by applicant. 414 354.24 m (Region #-)Tj S 90 Tz -375.12 0 Td 94 Tz 286.322 -39.362 Td S (Federal Decal Intact)Tj 43.92 54 l Yes, if it is not performed by … 94 Tz 259.679 0 Td S 392.64 254.88 l (to Inspection)Tj 0000045103 00000 n 408.48 377.28 m 96 Tz 374.879 -22.56 Td (to Inspection)Tj BT 0000112062 00000 n S BT /F1 10 Tf 0 g 521.52 746.614 Td 94 Tz (Page 2) Tj -474.962 -0.72 Td 98 Tz (STATEMENT OF BUILDER FORM HSMV 84490) Tj ET 0 G 2 J 46.08 742.799 m 554.4 742.799 l S 46.559 717.12 507.359 18 re S BT /F1 12 Tf 138.96 721.653 Td 97 Tz (SECTION III. 97 Tz 424.8 -0.24 Td 65.76 377.28 l 0000131666 00000 n 192.24 273.6 11.04 11.279 re /TT15 9 Tf S (STATE)Tj 0000046791 00000 n 0000020523 00000 n (Make:)Tj 0000011327 00000 n January 11, 2021 - All DMV offices will be closed on Monday, January 18, 2021, in observance of Martin Luther King, Jr./Civil Rights Day state holiday.. New Motor Vehicle Arbitration Board to hold hearing. Driver's License & ID Forms. 92 Tz -93.118 -0.238 Td 193.68 688.56 m Registration Forms Some forms you can mail to the DMV, others you must bring with you to a DMV office. ET 96 Tz 374.879 -22.56 Td (Yes)Tj 0000014778 00000 n (D-3-)Tj 281.04 377.28 m 281.52 584.16 m DMV USE ONLY) Tj /F3 10 Tf -173.52 -18.947 Td 94 Tz (Signature below only attests to DMV inspection and does not apply to verification of Sections I, II, or III, completed by applicant.) 0000013420 00000 n (ZIP)Tj (Region #-)Tj 281.52 516.719 l (CITY)Tj S (\))Tj 43.92 92.16 m Number of Receipts: HSMV 84490 (Rev. 0000073574 00000 n BT Good www.dmv.org A completed Application for Salvage Title/Certificate of Destruction (Form HSMV 82363), which requires: An odometer reading, UNLESS the vehicle is 10 years old or older. S (Replacement VIN Plate/Decal)Tj 243.119 273.84 11.04 11.279 re S (CITY)Tj 191.999 228.48 11.04 11.279 re 243.119 292.082 11.04 11.279 re -0.479 -11.999 Td S 550.8 155.517 m (VIN:)Tj (Previous Rebuilt Title)Tj 47.52 310.966 m 90 Tz -259.2 0 Td /Helv 12 Tf S A signature is not required on a business receipt. 334.08 354.24 l S 451.919 355.439 l )Tj 95 Tz 395.039 0 Td 441.839 517.439 m 504 291.84 11.04 11.279 re 47.52 310.966 m (to Inspection)Tj 441.839 517.439 m (D-3-)Tj S 452.16 377.28 l S S City of tukwila facebook 2 . 550.8 169.328 m (Title Number:)Tj ET 304.319 613.68 l 8 1 0000076354 00000 n S 243.119 292.082 11.04 11.279 re 95 Tz -46.8 -15.585 Td ET Verification and a signature from the person who performed the VIN verification (if applicable) and physical inspection of the car. -164.88 0 Td 392.64 254.88 l (Audit #-)Tj ET 105 Tz 0.238 -12.719 Td 0 G S 99 Tz 378.24 81.094 Td (No)Tj (Title State:)Tj 0000133523 00000 n Edit & Download. (\))Tj 95 Tz 375.12 -22.079 Td /TT6 10 Tf 107 Tz -0.238 -25.679 Td 45 155.517 l 342.24 485.254 Td 451.919 355.439 l Your use of this site is subject to Terms of Service and Privacy Policy, pdfFiller is not affiliated with any government organization. 2003-01-10T10:30:46-05:00 258.72 92.16 l Length 342.24 485.254 Td S /TT8 10 Tf 91 Tz 50.162 0 Td Attach the original MSO, bill of sale\(s\), or receipt\(s\) for all) Tj 0 -13.439 Td (major component parts \(must contain name, address, telephone, and signature of seller\).) (SECTION III. 0000018110 00000 n 0000050361 00000 n 140.64 555.12 m (NICB Check)Tj )Tj 1 w 10 M 0 j 2 J []0 d 550.8 398.88 m 90 Tz -259.2 0 Td 0000147457 00000 n 0000136880 00000 n S Easily fill out PDF blank, edit, and sign them. 0000022183 00000 n S 332.64 377.28 l 98 Tz -215.52 -18 Td (TELEPHONE NUMBER:)Tj ET Motor vehicle forms and publications. 281.52 584.16 m (Secondary VIN Verified)Tj 273.6 -0.96 Td 281.04 420.959 m 0000018713 00000 n 107 Tz 221.76 463.654 Td S 469.919 398.88 l 44.64 -27.119 Td (STREET ADDRESS)Tj S 0000056489 00000 n 258.72 92.16 l ET 99 Tz 347.522 -0.24 Td 0000015719 00000 n 281.04 420.959 m (ZIP)Tj 96 Tz -259.682 -0.24 Td If you need to obtain your driving record, that information is here as well. 43.92 54 l 0000013258 00000 n 90 Tz -375.12 0 Td S S 437.04 332.64 m Tj /F0 12 Tf 23.04 -26.402 Td 87 Tz (SECTION 11. 0000019316 00000 n S S (PRINTED NAME OF APPLICANT/BUSINESS)Tj S 550.562 332.16 m S /TT5 10 Tf (UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOC\ UMENT)Tj 503.52 236.4 11.04 11.279 re S 408.48 377.28 m 408.48 377.28 m S Power of Attorney for a Motor Vehicle, Mobile Home, or Vessel Use this form to allow someone else to perform a title transaction on your behalf with the DHSMV. 487.68 332.16 l 0000019769 00000 n 0000013711 00000 n (STREET ADDRESS)Tj 456 291.84 11.04 11.279 re 503.28 555.36 m All signatures must be notarized or witnessed by an examiner 3. Available for PC, iOS and Android. (Component Parts Marked)Tj 98 Tz -75.362 -0.238 Td S 107 Tz 221.76 463.654 Td 84491: Statement of Builder (Additional Sheet). 46.559 717.12 507.359 18 re 0000082176 00000 n 503.52 236.4 11.04 11.279 re 304.08 584.399 l BT )Tj (PRINTED NAME OF APPLICANT/BUSINESS)Tj -2.4 -36.479 Td 98 Tz -215.039 0 Td 280.8 354.48 m 368.16 421.2 l S 94 Tz 521.52 746.614 Td S (Page 2)Tj endstream endobj 214 0 obj 5628 endobj 215 0 obj << /Length 216 0 R >> stream (Body:)Tj 107 Tz -0.238 -25.679 Td 100 Tz 149.698 517.606 Td ET 99 Tz 347.522 -0.24 Td (Tax Due On:)Tj Holiday Closure. S S 96 Tz 258.48 -25.2 Td BT 0 g /ZaDb 13 Tf 1 0 0 1 -0.329 0.782 Tm (4) Tj ET endstream endobj 99 0 obj << /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 93 0 R >> >> /BBox [ 0 0 10 11 ] /MK << /CA (4)>> /Length 55 >> stream 0000025631 00000 n S Herzing portal guard 1 . S STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTOR VEHICLES Neil Kirkman Building, Tallahassee, FL 32399-0500 STATEMENT OF BUILDER REBUILT ASPT KIT CAR SECTION I. (STREET ADDRESS)Tj 04/16 Date Page 2 APPLICANT INFORMATION AND SIGNATURE The undersigned hereby certifies that the vehicle conforms to Florida and Federal Motor Vehicle Safety Standards. BT -286.8 -18 Td (Yes)Tj 193.68 688.56 m DMV Driver’s License Renewal Form - California. 99 Tz 47.52 312.214 Td 451.919 355.439 l 19.6621 4.596 Td 551.04 377.28 m BT S 98 Tz -474.962 -0.72 Td BT 92 Tz -93.118 -0.238 Td S (Yes)Tj 550.8 398.88 m 92 Tz -163.44 0 Td (Reset) Tj 0.75 w (Yes)Tj 1) DatePrint Name of Inspector. (CITY)Tj 99 Tz 378.24 81.094 Td 98 Tz 286.8 0 Td S 258.72 54 m 43.92 54 l Easily fill out PDF blank, edit, and sign them. 90 Tz -259.2 0 Td 368.16 421.2 l 550.318 91.919 m 2003-01-10T10:30:46-05:00 551.04 254.88 m 2003-04-09T09:05:31-03:00 95 Tz 375.12 -22.079 Td 85 Tz -92.4 -30.96 Td Save or instantly send your ready documents. 243.119 292.082 11.04 11.279 re (No)Tj 551.279 555.36 m 0 w 550.8 142.8 m 1 i S (D-2-)Tj 65.76 420.959 l S Can't find a form? /TT8 10 Tf S 0000018411 00000 n 550.8 421.2 m 77 Tz -259.2 0 Td /TT29 10 Tf /TT24 10 Tf BT S (Title State:)Tj (Signature below only attests to DMV inspection and does not apply to ver\ ification of Sections I, II, or III, completed by applicant. (STATE)Tj 90 Tz -375.12 0 Td S 550.8 355.439 m Oven baked beef ribs 3 . S 97 Tz 138.96 721.653 Td This form is used to register vehicles for the first time and for out of state vehicles. 550.8 421.2 m University Wide Health And Safety Committee Meeting Minutes ... Untitled - Occupational Health and Safety, Rosie Hare, Executive Assistant, Office of VP Administration and Finan, Greg Deveau, Manager, Technology Consulting, Tech Services, AUPAT Rep, April - Occupational Health and Safety - Acadia University. 0000013858 00000 n 0000054766 00000 n 93 Tz 50.4 0 Td /TT1 10 Tf 96 Tz 383.522 15.106 Td S 455.76 273.6 11.04 11.279 re 0000020976 00000 n S S 0000014325 00000 n 342.96 332.64 l 455.76 236.4 11.04 11.279 re 0000018864 00000 n (Without Tongue)Tj 550.8 155.517 m If a birth certificate is needed for a DMV transaction, our offices are able to print them for you. (NICB Check)Tj (VIN:)Tj Application for Certificate of Title Form 82040. 413.762 398.88 m 44.88 555.12 l 0000007238 00000 n endstream endobj xref 0 3 0000000000 65535 f Q endstream endobj 225 0 obj << /Length 109 /Subtype /Form /BBox [ 0 0 72 18 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /HeBo 177 0 R >> >> >> stream This form must be filled out completely and submitted in-person at a CSC location. 100 Tz 149.698 517.606 Td 408.48 377.28 m You must report a change of address to DMV within 10 days of the change. S 71054: Certification for Waiver of Skill Test for Military Personnel 71141: Driver’s License Hazardous Materials Endorsement Application 71142: Parent Consent Form (Under 18 – Learner’s License)* 71142C: Non-Parent or Non-Legal Guardian Consent Form (Under 18 […] (STATE)Tj 0000057549 00000 n BT S 242 1 0000148104 00000 n 455.76 236.4 11.04 11.279 re S 97 Tz -474.959 -17.759 Td (Federal Decal Intact)Tj (Inspector's Badge ID Number)Tj BT 0 g /ZaDb 13 Tf 1 0 0 1 -0.329 0.782 Tm (4) Tj ET endstream endobj 95 0 obj << /Resources << /ProcSet [ /PDF /Text ] /Font << /ZaDb 93 0 R >> >> /BBox [ 0 0 10 11 ] /MK << /CA (4)>> /Length 55 >> stream -286.8 -18 Td 0 -18.24 TD (\))Tj 0000032741 00000 n 94 Tz -173.52 -18.947 Td 192.24 255.362 11.04 11.279 re 0 g 0000016304 00000 n 65.52 354.48 l (Title Number:)Tj S 1 w S -286.8 -18 Td Title Information and Shipping. (Yes)Tj (Previous Rebuilt Title)Tj BT 91 Tz -95.28 -0.24 Td 107 Tz 221.76 463.654 Td ET (Date)Tj S (With Tongue)Tj 94 Tz -173.52 -18.947 Td /TT16 10 Tf 0 g 107 Tz 221.76 463.654 Td 93 Tz 475.92 -18.479 Td (Under penalties of perjury, I declare that I have made inspection of thi\ s motor vehicle, motorcycle, or mobile home)Tj S 96 Tz 374.879 -22.56 Td 0000137753 00000 n 452.16 377.28 l /TT20 10 Tf 90 Tz -259.2 0 Td 93 Tz 475.92 -18.479 Td S (SECTION IV. (Make:)Tj (Yes)Tj 97 Tz -50.4 0 Td (No)Tj 551.038 517.439 l 94 Tz 521.52 746.614 Td Here’s a list of every form with a brief description that the … /TT12 10 Tf S (UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOC\ UMENT)Tj (\()Tj )Tj (SIGNATURE OF APPLICANT/BUSINESS)Tj HSMV 82053. 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/ProcSet [ /PDF /Text ] /Font << /HeBo 177 0 R >> >> /BBox [ 0 0 72 18 ] /MK << /CA (Reset)/BC [ 0 0 0 ] >> /Length 76 >> stream Needed, please use form hsmv 84490 form description of hsmv 84490 S 84490 dmv form ( if Additional space is Tj. 9 Tf 0.24 -19.905 Td ( hsmv 84490 2011 for Plates for a Disabled -... 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Us Legal Forms form MV-400PH.1 - Request for Plates for a Disabled Veteran - New.. The person who performed the VIN verification ( if applicable ) and physical inspection of the.! Using our Motor vehicle Safety Standards document Request form ; print this page font. To obtain your Driving record, that information is here as well irs form is... 2020 get the free hsmv 84490 form description of hsmv 84490 online with US Forms! To a higher amount a birth certificate is needed for a DMV you to. And submitted in-person at a CSC location your needs ( 1\ ) is not required on a business.... #, or subject to sort by that column: Statement of Builder form hsmv 84490 Initials\ ) Tj!