Signature (Required) definition

Signature (Required). Date: Deceased Class Members‌ Deceased Class Members are not eligible for rollover treatment. A Beneficiary of a deceased person who was a participant in the Plan at any time during the Class Period, including executors, heirs, assigns, estates, personal representatives, or successors-in-interest, must provide the following information with this Former Participant Claim Form to Eversource 401(k) Settlement Administrator, c/o Strategic Claims Services, ▇▇▇ ▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, Suite 205, Media PA 19063: • Evidence that such person is authorized to receive distribution of the deceased Class Member’s settlement payment, and the name and, if applicable, the percentage entitlement of each person entitled to receive distribution; • Social Security Number of each person entitled to receive payment; • Current mailing address of each person entitled to receive payment; and • Person(s) to whom check(s) should be made payable, and amount(s) of check(s).

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Signature (Required). Sign document, enter your Social Security number and today’s date. A signature is required to process your request for an installment agreement. If the debt is a joint debt, your spouse must sign in the Spouse Signature field. Bank Name and Address: Enter the name and address of your bank/financial institution. Employer Name and Address: Enter your employer’s name and address. Extra Payments

Signature (Required). Date (Required): White – Acelleron Yellow - Patient Pink – Office Acelleron Medical Products (“Acelleron”) is available to serve our clients Monday through Thursday from 9:00 am to 6:00 pm, Friday 9:00 am to 5:00 pm, Saturday 9:00 am to 3:00 pm. Acelleron maintains emergency, on call service for any calls outside normal business hours. To contact us during and after business hours, please call ▇▇▇-▇▇▇-▇▇▇▇.

Examples of Signature (Required) in a sentence

• Spouse’s Signature (Required if not sole primary beneficiary.) Date For Office Use Only: Acct.# Office: Reg.

• ARC Signature Required on Page 3 THIS EPLUS Agreement is made and entered into by and between the NM Department of Game and Fish, hereinafter referred to as the "Department", and the party listed on page 1, hereinafter referred to as the "Authorized Ranch Contact", pursuant to 19.30.5 NMAC, Private Land Elk License Allocation.

• Student Signature (Required) Date For priority processing, submit ALL required documents by: After these dates, you should be prepared to make payment arrangements with the Bursar’s Office.

• Signature Required As a condition of participating in the King County Metro Commuter Van Program, the Participant agrees to have read and agreed to the King County Metro Commuter Van Program Terms and Conditions, below or at ▇▇▇▇://▇▇▇▇▇.

• Customer name (Required): Address: Signature (Required): Name (Required): Title (Optional): Date (Required): EU Representative (Required only where applicable): Contact details: Data Protection Officer (Required only where applicable): Contact details: Notwithstanding the signatures below of any other Atlassian Entity, an Atlassian Entity is not a party to this Addendum unless they are a party to the Agreement.

• Reason for No Offer Bid Bond Attached: $ (Name and Title of Person Authorized to Sign Offer) * Signature of Person Authorized to Sign Offer (Original Signature Required) * Failure to execute this Form binding the Bidder’s offer shall result in the Bid being rejected as non-responsive.

• Customer name (Required): Signature (Required): Name (Required): Title (Optional): Date (Required): EU Representative (Required only where applicable): Contact details: Data Protection Officer (Required only where applicable): Contact details: Notwithstanding the signatures below of any other Atlassian Entity, an Atlassian Entity is not a party to this Addendum unless they are a party to the Agreement for the provision of the Cloud Products to you.

• A qualifying Merchant may participate in the No Signature Required Service subject to the requirements set forth in the Operating Rules, including without limitation, those set forth or referred to in the Visa Core Rules and Visa Product and Service Rules regarding “No Signature Required Transactions (NSR).” Health Care Eligibility Service.

• Supervisor’s Signature (Required before sending to Executive Director of Human Resources) Date Executive Director of Human Resources Date Approved Request Denied – Reason: Conference/Training to be paid by: Building District Reminder: Be sure to attach completed registration forms and/or conference information to this request.

• Household Signature* (Required when landlord initiates assistance.

More Definitions of Signature (Required)

Signature (Required). Also: Sign and provide your tax I.D. number on Substitute Form W-9 SIGNATURE(S) REQUIRED Signature(s) of Registered Holder(s) or Agent (See Instructions 2 and 3) Must be signed by the registered holders(s) EXACTLY as name(s) appear(s) on stock certificate(s). If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer for a corporation acting in a fiduciary or representative capacity, or other person, please set forth full title. ________________________________________________________________________________ Registered Holder ________________________________________________________________________________ Registered Holder ________________________________________________________________________________ Title, if any Date: _______________________________ Phone No: ________________________________ PAYING AGENT'S NAME -- ABRY PARTNERS, LLC

Signature (Required). Date (Required):