| Mail Call, U.S.A. 640 Grove Avenue, SW Cleveland, TN 37311 Voice: 877-447-2758 |
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|
Instructions
for Form 1583
|
|
| Box 1. | Date |
| Box 2. | Applicant Name(s) |
| Box 3. | a. 640 Grove Avenue, SW |
| b. Cleveland | |
| c. TN | |
| d. 37311-5759 | |
| Box 4. | Mail
Call, USA 640 Grove Avenue, SW Cleveland, TN 37311-5759 |
| Box 5. | Sign here if you want us to receive your accountable mail (certified, registered or insured mail). |
| Box 6. | Print your name(s). |
| Box 7. | Print
your home address (no P.O. Box addresses). **Full-time RVers should put "I live in my RV" and your RV license tag number and state. |
| Box 8. | Include two forms of ID for each applicant. |
| Box 9-14. | Leave blank unless you have a business or minor children. |
| Box 15. | Have this form notarized with official seal (no copy). |
| Box 16. | Signatures of Applicant(s) |
Be sure to send in photocopies of your ID's used in Box 8, along with your application, notarized 1583 and check payment. |
|
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and Fee Schedule
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Form
1583 | Instructions for Form
1583
Mail Call, U.S.A. | 640 Grove Avenue, SW | Cleveland, TN 37311 | Voice: 877-447-2758
last modified 08/08/2007