Address Line 2 will not be accepted. Please keep a copy of the official copy.
2. Signature of Agent
Attached please find a list of the items you must complete before completing this application.
The required documents can be found on the USA Patriot Act Forms
Please contact your local ATF office to obtain the following documents:
1. Current Form 6 (Employment Tax Declaration)
2. Current Federal and State Form 5320.22/1 (Certificate of Authority)
3. Current Form 5320.22/3 (Certificate of Relationship to Business Entity)
4. Current Form 5320.22/5(A)(2) (Confidentiality)
5. Current Forms 8063-9 (Business Entity Name, Business Name, Certificate/Registration Number)
6. Current Form 8051-S (Sealing)
7. Current Tax Return (Employment Tax Return (Form 8500) — Payroll Expense Tax Return)
8. Current Form 8051-S (Sealing)
8. Current Federal Tax Return (Tax Return (Form 1040) — Income Tax Withholding Return — State Tax Withholding Return)
9. Current Federal Tax Return (Form 1040) — Wage and Tax Statement of Withholding)
10. Current Form W-2G (Wage and Tax Statement of Withholding)
11. Current Federal Tax Return (Form 1040) — Federal Wage and Tax Statement of Withholding)
12. Current Federal Tax return (Form 1040) — Federal Wage and Tax Statement of Withholding)
13. Current Federal Tax return (Form 1040) — Federal Wage and Tax Statement of Withholding)
14. Current Federal Tax Return (Form 1040) — Employer's Tax Withholding Statement
15. Current Federal Tax Return (Form 1040) — Employee's Employer's Tax Withholding Statement
16. Current Federal Tax Return (Form 1040) — Individual's Employer's Tax Withholding Statement
17. Current Federal Tax Return (Form 1040) — Individual's Employer's Wage and Tax Statement of Withholding
18. Current Federal Tax Return (Form 1040) — Individual's Employer's Wage and Tax Statement of Withholding
19. Current Federal Tax Return (Form 1040) — Individual's Employer's Wage and Tax Statement of Withholding
20.
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Mail to: Hancock Transfer Agent
2600 Birthplace, Suite 200
Baton Rouge, LA 70808
18007382625 ext. 7200
1. Account RegistrationPlease note: Failure to complete all required sections of this application
may
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