Form w-147

On line 6d of your Form W-7, enter, as the "Date of entry into the United States," the month, day, and year you entered the United States in MM/DD/YYYY format. Line 6e. If you ever received an ITIN and/or an Internal Revenue Service Number (IRSN), check the "Yes" box and complete line 6f.

01. Edit your w 147m online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others. Send 147m form via email, link, or fax.More about what a 147C letter is and its purpose. Also known as an EIN verification letter, the 147C is used to verify the name, address, and EIN associated with a specific business entity. This form is used because once you have an EIN, the original cannot be replaced.Should it get misplaced, the 147C is used to verify your business ...Form Adopted for Mandatory Use Judicial Council of California FL-141 [Rev. July 1, 2013] DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION (Family Law) Family Code, §§ 2102, 2104, 2105, 2106, 2112. www.courts.ca.gov.Print Clear Government of the District of Columbia tatement of Person 2023 FR-147 S Claiming Refund Due a Deceased Taxpayer *231470110002* Important: Print in CAPITAL letters using black ink. ... to the best of my knowledge, it is correct. Signature of person claiming refund Date Telephone number Attach this form to the deceased's D-40 along ...To request a 147c letter from the IRS, contact the IRS Business and Specialty Tax line at 1-800-829-4933. They are open Monday through Friday from 7:00 AM to 7:00 PM, taxpayer local time (Alaska and Hawaii follow Pacific Time). Be prepared to answer several security questions. After that, the IRS will mail or fax you your 147c letter.Español. Use Form SS-4 to apply for an employer identification number (EIN). An EIN is a 9-digit number (for example, 12-3456789) assigned to employers, sole proprietors, corporations, partnerships, estates, trusts, certain individuals, and other entities for tax filing and reporting purposes. Note: Keep the Form SS-4 information current.

Now, creating a Omers Form 147 takes a maximum of 5 minutes. Our state-specific web-based samples and crystal-clear instructions eliminate human-prone mistakes. Follow our easy steps to have your Omers Form 147 ready quickly: Pick the web sample from the catalogue. Enter all required information in the required fillable fields.To fill out Form 147c in PDF format, follow these steps: 1. Download the Form 147c PDF from the official IRS website or any trusted source. 2. Open the PDF file using a PDF reader or editor. Many web browsers already have built-in PDF viewers, or you can use software such as Adobe Acrobat Reader. 3. The Square Root of: The Work. 147−−−√ 49 ⋅ 3− −−−√ 49−−√ 3–√ 7 3–√ 147 49 ⋅ 3 49 3 7 3. 147−−−√ ≈ 12.12435565298214 147 ≈ 12.12435565298214. (This link will show the same work that you can see on this page) You can calculate the square root of any number , just change 147 up above in the textbox. Form W-147P (page 1) Rev. 4/28/11 Date: Case Number: Case Name: Worker's Name: Telephone Number: Job Center: The Human Resources Administration (HRA) will issue …Section 147 and 148 of Income Tax Act is a well designed weapon for the Income Tax Department empowering it to assess, re-assess or re-compute income, turnover etc, which has escaped assessment. Section 147 and Section 148 of the Act contain the per-requisite conditions to be fulfilled for invoking the jurisdiction to reopen the assessment.MSDGC Form 147 Rev 5/21/15 00 73 36-2 Page 1 of 2 MSDGC FORM 147 - Company / Organization Data Sheet Company / Organization Name Federal Tax ID / Social Security No. Local Address City / State / ZIP Local Representative Phone Number E-mail Address EEO Administrator Phone Number E-mail Address ...Instructions and Help about w 147 form pdf . Hi my name is Alice Lee I'm an attorney at a law office of Joseph Panasonic & Associates I want with talk about Medicaid fraud investigations here in New York let me be clear there are two types of Medicaid fraud committed by service providers like doctors and hospitals and fraud committed by …Are you in need of a Z83 form for job applications? Look no further. In this article, we will introduce you to the top 5 websites where you can easily access and download the Z83 f...

SBA FORM 147 B (5-00) Doc # SBA Loan # Application # In Process. 7. FEDERAL LAW APPLIES: When SBA is the holder, this Note will be interpreted and enforced under federal law, including SBA regulations. SBA may use state or local procedures for filing papers, recording documents, givingForm Adopted for Mandatory Use Judicial Council of California FL-141 [Rev. July 1, 2013] DECLARATION REGARDING SERVICE OF DECLARATION OF DISCLOSURE AND INCOME AND EXPENSE DECLARATION (Family Law) Family Code, §§ 2102, 2104, 2105, 2106, 2112. www.courts.ca.gov.Prime factors of 147 : 3, 7x7. In number theory, the prime factors of a positive integer are the prime numbers that divide that integer exactly. The prime factorization of a positive integer is a list of the integer's prime factors, together with their multiplicities; the process of determining these factors is called integer factorization.01. Edit your w 147 q form online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 03. Share your form with others.Information about Form W-14, Certificate of Foreign Contracting Party Receiving Federal Procurement Payments, including recent updates, related forms and instructions on how to file. Form W-14 is completed by foreign contracting parties and is used to claim an exemption from withholding, in whole or in part, from the 2% tax imposed by section 5000C.For calculation, here's how to calculate Prime Factorization of 147 using the formula above, step by step instructions are given below. Cumulative all the circle value in multiply (times) format, like this: 3×7×7. You just get the Prime Factorization of that value (147).

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Model 147. You can access by identifying yourself with Cl@ve , certificate or DNIe .If you have questions about how to obtain an electronic certificate or how to register in the Cl@ve system, consult the information available in the related content.. If the declarant does not have an electronic certificate, it is necessary that the person making the presentation be authorized to present ...This form may be used by contractors to submit certified weekly payrolls for contracts subject to the Davis-Bacon and related Acts. If you're familiar with Adobe® Acrobat® Reader® and its use go ahead and get Wage Hour Form 347 (WH-347). NOTE: The form is broken down into two files PDF and instructions. If you need a little help to with the ...Q: What is State Form 147/147E?A: State Form 147/147E is the Property Tax Abatement/Exemption Certificate used in Massachusetts. Q: What is the purpose of State Form 147/147E?A: The purpose of State Form 147/147E is to apply for property tax abatement or exemption in Massachusetts.. Q: How do I use State Form 147/147E?A: To use State Form 147/147E, you need to fill out the required information ...Form W-147Q. Fill this form. (4.5 / 5) 76 votes. Get your Form W-147Q in 3 easy steps. 01 Fill and edit template. 02 Sign it online. 03 Export or print immediately. What Is NYC Form W-147Q? The w 147q form is also known as the verification of the secondary tenant’s residence and housing costs.

Form 147, also known as the Election by a Small Business Corporation, is used by small business corporations to make an election under section 1362(a) to be treated as an S corporation for Federal tax purposes. Here is the information that must be reported on Form 147: 1. Identification Information: You must provide the name, address, and ...File a W-2 or 1099; Request Tax Guidance; Tax Forms. Tax Forms Index; IA 1040 Instructions; Resources. Online Services; Law & Policy Information; Reports & Resources; Tax Credits & Exemptions; Education; Tax Guidance; Tax Research Library; Iowa Tax Reform; Adopted and Filed Rules; Need Help? Common Questions; Education; GovConnectIowa Help ...Here are the steps to fill out the form: 1. Download Form 147: Go to the Australian Government's Department of Home Affairs website and download Form 147 - Application for a Visitor visa (subclass 600). 2. Read the instructions: Carefully read the instructions provided with the form.Pre-Algebra. Simplify square root of 147. √147 147. Rewrite 147 147 as 72 ⋅3 7 2 ⋅ 3. Tap for more steps... √72 ⋅3 7 2 ⋅ 3. Pull terms out from under the radical. 7√3 7 3. The result can be shown in multiple forms.Residence Verification form (W-147) and Two-Party Check Discrepancy form (W-147L) to retrieve the landlord/management agent’s updated information. • upon receipt of the W-147 and W-147L with updated landlord/management agent information or proof of ownership submitted by the participant, reissue the returned check to theThe Vanguard Group, Inc. ( ) Form 8.3 - The Vanguard Group, Inc.: Stagecoach Group plc 21-Jan-2022 / 13:47 GMT/BST Dissemination of a... The Vanguard Group, Inc. ( ) Form 8...Form 147 Updated 6/2020. Kentucky Department Of Insurance. Workers' Compensation Group Security Deposit Held Under Safekeeping. Author: Department Of Insurance Created Date:New In POS, the W-147-H now prints in the Print Forms to Sign (Task 5) window when the request for rent arrears or mortgage arrears is recorded, along with the W-147PP. The JOS/Worker must print the form and capture the signature electronically in POS. The form must be signed by the applicant (and legal spouse, if necessary). TheHere's how to call the IRS and get a 147C Letter. Call the IRS at 1-800-829-4933 (the "business and specialty tax line"). Press option 1 for English. Press option 1 for Employer Identification Numbers. Press option 3 for "If you already have an EIN, but you can't remember it, etc.".Understanding Your Specific IRS Letter 147c. IRS Letter 147c is an official form of verification issued by the IRS (Internal Revenue Service) that confirms the business or entity’s EIN (Employer Identification Number). It’s commonly sent to the owners of businesses who have applied for an EIN or have made corrections to their EIN application.Taxpayers have numerous options for accessing their Form W-2 online. Employers are typically the quickest route to retrieving this information, but employees can also contact their...

There are several ways to tell us your address has changed: Methods to Change Your Address. Method. Action. IRS form. Use Form 8822, Change of Address or Form 8822-B, Change of Address or Responsible Party - Business. Tax return. Use your new address when you file. Written statement.

You can contact the IRS directly and request a 147C letter as a replacement confirmation letter. Between 7:00 AM and 7:00 PM EST, call the IRS Business & Specialty Tax Line toll free at 1-800-829-4933 (or 267-941-1099 if calling from outside the United States). Press 1, then 1 again, then 3.Form W-147Y Rev. 4/24/15 Affidavit of Improper Negotiation of Cash Assistance Check Instructions to the Landlord/Managing Agent: If the endorsement on the enclosed copy of the check(s) is not yours, complete Section 2 of this affidavit, have it notarize d and send it with the copy of the check(s) to: BORAC Attn: Supervisor, Forged Check Unitw-147 form pdf; nyc hra form w-147m; w-147m form; w-147 hra; w-147q nyc; w-700e form; A Simple Manual to Edit Form W 147y Online. Are you seeking to edit forms online? CocoDoc can help you with its detailed PDF toolset. You can get it simply by opening any web brower. The whole process is easy and quick. Check below to find outOMERS Form 147 is typically required by individuals who are associated with the OMERS pension plan. This form is specifically used to report certain personal and employment-related information to OMERS, which is crucial for maintaining accurate records and ensuring appropriate pension calculations and benefits.01. Edit your w 147 q form online. Type text, add images, blackout confidential details, add comments, highlights and more. 02. Sign it in a few clicks. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. …Call 911 or emergency medical service. Give artificial respiration if victim is not breathing. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes.Form 147, also known as the Election by a Small Business Corporation, is used by small business corporations to make an election under section 1362(a) to be treated as an S corporation for Federal tax purposes. Here is the information that must be reported on Form 147: 1. Identification Information: You must provide the name, address, and ...DCSA FORM 147. Open Storage Area Approval Checklist. DCSA approves safeguarding under the National Industrial Security Program (NISP) for contracts upon which the …Fill Form W 147q Llf, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Try Now! Home; For Business. Enterprise. ... statement regarding occupancy of secondary tenant form w 147q pdf form w 147q form w 147 form 147q w 147q form w 147q ...

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Instructions for Form 1040 Form W-9; Request for Taxpayer Identification Number (TIN) and Certification Form 4506-T; Request for Transcript of Tax Return Form W-4 ... Mention that you received a CP 147 notice and you need to review your account with a customer service representative. Be sure to have a copy of your notice and your tax …Department of Labor and EmploymentDCSA Form 147 can be found at NISP Resources under the "FSO Forms" tab. The DCSA Form 147 Process Guide has been released to aid Industry in completing the form. The Process Guide can be found at NISP Resources under the "FSO Guides" tab. NATIONAL ACCESS ELSEWHERE SECURITY OVERSIGHT CENTER (NAESOC) TEAM PROFILE: THE NAESOC OPERATIONS TEAMForm W-147Q. Fill this form. (4.5 / 5) 76 votes. Get your Form W-147Q in 3 easy steps. 01 Fill and edit template. 02 Sign it online. 03 Export or print immediately. What Is NYC Form W-147Q? The w 147q form is also known as the verification of the secondary tenant’s residence and housing costs.Most businesses that operate in the US or generate income through the US need to apply for a federal employer identification number (EIN). This is your federal tax ID. Think of it as the business equivalent of your social security number.The internal revenue service sends your EIN via a confirmation letter — called a “CP 575” notice — through …How to modify W 147 form: customize forms online. Check out a single service to take care of all of your paperwork with ease. Find, modify, and complete your W 147 form in a single interface with the help of smart tools. The days when people needed to print out forms or even write them by hand are long gone. Today, all it takes to find and ...maintained on DCSA Form 147, April 2022. This form is approved by OMB No. 0705-0006 for the collection of the information. The form documents physical and procedural security information, security measures, entrances, emergency exits, and intrusion detection systems. Completing the Form. from the Contractor PerspectiveTaxpayers may need to use EIN Verification Letter 147c to request their EIN if they lost their initial EIN Confirmation Letter CP 575. The only way to recover your EIN by requesting EIN Verification Letter 147c is by calling the IRS at 1-800-829-4933. Taxpayers who request and are approved for an EIN Verification Letter 147c can choose to ...The AF Form 1786 may be submitted as early as July 1 but no later than January 31 for this admissions cycle. ... - AF Form 1786 - Complete Form 147, Extracurricular activities record, online at www.academyadmissions.com - 3 Letters of Evaluation (Unit Commander, First Sergeant or supervisor and other military officer on Active Duty/Reserve ... ….

Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.2021 FR-147 2021 FR-147 Fill-in. Effective 2/26/24, OTR's Cashier's Office is now located at 1100 4th Street, SW, Suite E200, Washington, DC 20024. The latest edition provided by the New York City Department of Social Services; Easy to use and ready to print; Quick to customize; Compatible with most PDF-viewing applications; Fill out the form in our online filing application. Download a printable version of Form W-147N by clicking the link below or browse more documents and templates ... Edit Form 147c pdf. Effortlessly add and underline text, insert pictures, checkmarks, and signs, drop new fillable areas, and rearrange or delete pages from your document. Get the Form 147c pdf completed. Download your modified document, export it to the cloud, print it from the editor, or share it with other people through a Shareable link or ...To fill out Form 147c in PDF format, follow these steps: 1. Download the Form 147c PDF from the official IRS website or any trusted source. 2. Open the PDF file using a PDF reader or editor. Many web browsers already have built-in PDF viewers, or you can use software such as Adobe Acrobat Reader. 3.Enter your name and your EIN on all business federal tax forms and on related correspondence. If you have any questions regarding this letter, please call our Customer Service Department at 1-800-829-0115 between the hours of 7:00 AM and 10:00 PM. If you prefer, you may write to us at the address shown at the top of the first page of this letter.Instructions and Help about w 147 form pdf . Hi my name is Alice Lee I'm an attorney at a law office of Joseph Panasonic & Associates I want with talk about Medicaid fraud investigations here in New York let me be clear there are two types of Medicaid fraud committed by service providers like doctors and hospitals and fraud committed by …Form W-4; Employee's Withholding Certificate Form 941; Employer's Quarterly Federal Tax Return Form W-2; Employers engaged in a trade or business who pay compensation Form 9465 ... Mention that you received a CP 147 notice and you need to review your account with a customer service representative. Be sure to have a copy of your notice and your ...Rule 147: The Rule 147 is a rule that can be used by a company to raise funds without actually registering with the Securities and Exchange Commission (SEC). This rule usually only applies to ... Form w-147, W-147M W-147JJ Rev. 6/2/08 Broker s Fee Voucher Rev. 6/2/08 Broker s Statement for Fee Payment by Check 6/2/08 Form W-147M Center/DHS Site Case Name Case Number JOS Worker/DHS Worker Telephone Number I am or we are the Landlord Managing Agent of premises located at Apt., Rule 147: The Rule 147 is a rule that can be used by a company to raise funds without actually registering with the Securities and Exchange Commission (SEC). This rule usually only applies to ..., Forms and Documents. Download important information and application forms for rental assistance programs., FR-147 Attach to decedent's return (Form D-40) Statement of Person Claiming Refund Due a Deceased Taxpayer Government of the District of Columbia Office of Tax and Revenue Tax year for which decedent was due a refund:, 147 or the Lender's equivalent form for 7(a) loans and SBA Form 1505 for 504 loans); (3) The Agent's signature on SBA Form 159; (4) The Guarantor's signature on the guaranty (SBA Form 148/148L or the Lender's equivalent form); and (5) For 504 loans, the Borrower's signature on SBA Form 1506, Servicing Agent Agreement., Important information for EASA Foreign Part 147 Approval Holders/Applicants. 24/05/2023: Reminder letter of Russian Sanctions for the Foreign Part-147 Organisations 07/03/2022: Important information affecting all continuing airworthiness organisations approved by EASA Information is provided below regarding application forms, the foreign maintenance training organisation procedures and the ..., A: The purpose of Form W-147Q is to verify a secondary tenant's residence and housing costs in New York City. Q: What information is required on Form W-147Q? A: Form W …, W-147Q (E) 11/02/2018 (page 1 of 2) LLF Date: Case Number: Case Name: Center Number: Verification of Secondary Tenant's Residence and Housing Costs A "primary tenant" is a person listed on a lease or rental agreement who shares with, or rents that apartment/house (or a room) to, another person called a "secondary tenant.", DCSA Form 147 can be found at NISP Resources under the "FSO Forms" tab. The DCSA Form 147 Process Guide has been released to aid Industry in completing the form. The Process Guide can be found at NISP Resources under the "FSO Guides" tab. NATIONAL ACCESS ELSEWHERE SECURITY OVERSIGHT CENTER (NAESOC) TEAM PROFILE: THE NAESOC OPERATIONS TEAM, W-4. Department of the Treasury Internal Revenue Service. Employee’s Withholding Certificate. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay. Give Form W-4 to your employer. Your withholding is subject to review by the IRS. OMB No. 1545-0074. 2024. Step 1:, The OMERS Form 147, also known as the Employer Certification of Pensionable Earnings, is a document that must be completed by employers participating in the OMERS pension plan. It includes the following information that needs to be reported: 1. Employer Information: The form should include the name, address, and OMERS employer number of the ..., w-147 form pdf w-147q 2022 access hra access hra landlord form primary tenant statement w-147q spanish how to fill out form w-147 form w-147q llf rev. 5/3/12. w147q form (PDF) War Comes to Long An , its Origins and Legacies. War Comes to Long An , its Origins and Legacies: An Interview with Jeffrey Race. Learn more., Version dated 03/2020. These Tab Pages were designed to help you assemble your guaranty purchase request package. The use of the following Tab Pages is mandatory for all 7a guaranty purchase packages submitted to the NGPC. Please read and follow instructions provided on each Tab. Failure to meet the requirements outlined in these instructions ..., Give it a little time before the Form W 147 Rev 7511 is loaded; Use the tools in the top toolbar to edit the file, and the change will be saved automatically; Download your edited file. Get Form. Download the form. The best-reviewed Tool to …, CityFHEPS to Stay Housing Checklist. HOMEBASE DOCUMENTS. •DSS 7q (Apt/SRO) orDSS-7o(Rooms) Application for CityFHEPS •DSS-8eVerification of Eligibility • Arrears commitment from Homebase or another party if amount exceeds $10,000 (except for APS cases) • Agreement for repayment or recoupment of arrears (W-147KKor W-147H) •HRA ..., Defense Counterintelligence and Security Agency, Make the steps below to fill out W147 form online quickly and easily: Sign in to your account. Log in with your credentials or create a free account to try the service before upgrading the subscription. Import a form. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link., Order alternate formats for persons with disabilities. Date modified: 2023-08-25. Form used by a Deferred Profit Sharing Plan (DPSP) trustee or an Registered Pension Plan (RPP) administrator to record the direct transfer of a single amount under subsection 147 (19) or section 147.3 of the Income Tax Act., The IRS issued a new Form W-4 in 2020. The new design is simple, accurate, and gives employees privacy while minimizing the burden on employers and the payroll process. And, although employees don't have to give employers an updated Form W-4 they should be encouraged to update their Form W-4. Each employee is responsible for their own …, For Office Use Only. Form W-147 Rev. 7/5/11. Date: Case Number: Case Name: Letter to Landlord/Management Agent - Request for Residence Verification. (Prepare in Duplicate) Section A: Request for Household/Residence Verification. We are presently reviewing the Cash Assistance application/case of: (Applicant/Participant Name), Residence Verification form (W-147) and Two-Party Check Discrepancy form (W-147L) to retrieve the landlord/management agent’s updated information. • upon receipt of the W-147 and W-147L with updated landlord/management agent information or proof of ownership submitted by the participant, reissue the returned check to the, Do whatever you want with a W 147 Form - Fill Out and Sign Printable PDF Template: fill, sign, print and send online instantly. Securely download your document with other editable templates, any time, with PDFfiller. No paper. No software installation. On any device & OS. Complete a blank sample electronically to save yourself time and money. Try, Defense Counterintelligence and Security Agency, Form OPWDD 147 (Revised 01/01/2016) ... REPORTING FORM: 14 NYCRR Part 624 - Reportable Incidents and Notable Occurrences 1. AGENCY COMPLETING FORM 2. FACILITY (if applicable) 3. PROGRAM TYPE 4. ADDRESS 5. PHONE 6. MASTER INCIDENT NUMBER 7. AGENCY INCIDENT NUMBER 8. WAS A RELATED INCIDENT PREVIOUSLY, The following tips will help you fill out Form 147 easily and quickly: Open the template in our full-fledged online editing tool by clicking Get form. Complete the requested boxes that are yellow-colored. Press the arrow with the inscription Next to move on from one field to another. Go to the e-autograph tool to e-sign the template., Download Printable Form W-147q In Pdf - The Latest Version Applicable For 2024. Fill Out The Verification Of Secondary Tenant's Residence And Housing Costs - New York City Online And Print It Out For Free. Form W-147q Is Often Used In Housing Costs, New York City Department Of Social Services, New York City Legal Forms And United States Legal Forms., Fill out Form W 147 Rev 7511 in just several moments by using the recommendations below: Select the template you will need from the collection of legal forms. Choose the Get form key to open it and begin editing. Complete all of the requested fields (they are yellow-colored). The Signature Wizard will help you insert your e-signature right ..., Reasonable Economic Life: PLR 200515006 (12/09/2004) PDF. This is in response to the request submitted on behalf of the Issuer for a ruling that the average reasonably expected economic life within the meaning of section 147 (b) of the IRC of certain computer software is determined based on all of the issuer's particular facts and circumstances., Form W-147M Rev. 6/2/08. Landlord/Managing Agent's Statement. Center/DHS Site: Date: Case Name: Case Number: JOS Worker/DHS Worker: Telephone Number: and I am (or …, Homepage | Boston University, Form W-147 REV is an application for a Certificate of Non-Residence in the United States. When filling out this form, you will need to provide some personal information such as your full name, date of birth, and passport number. You will also need to provide your current address, the address of your foreign residence, and the purpose of your ..., Form W-147Y Rev. 4/24/15 Affidavit of Improper Negotiation of Cash Assistance Check Instructions to the Landlord/Managing Agent: If the endorsement on the enclosed copy of the check(s) is not yours, complete Section 2 of this affidavit, have it notarize d and send it with the copy of the check(s) to: BORAC Attn: Supervisor, Forged Check Unit, Form W-147P (page 1) Rev. 4/28/11 Date: Case Number: Case Name: Worker's Name: Telephone Number: Job Center: The Human Resources Administration (HRA) will issue a Cash Assistance allowance for a broker’s fee only if the Cash Assistance applicant/participant is otherwise eligible and the Broker meets all of the following criteria: