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Remit this amount via electronic payment, or in the form of certti ed check ...... calculations on this form. Line 1; Enter the VHF Does Llne1: Enter the.
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This amount will be displayed this way for an individual who does not reside in a state in which the FCC/FCC licenses are issued. Line 2; Enter 1 for one and less, 2 for 2, 3 for 3-4, 4 for 4-5, 5 for 5 or more. This total will be displayed this way for an individual who does not reside in a state in which the FCC/FCC licenses are issued. Line 3; Enter the name, social security number and address of the licensee. If the name and social security number are not known, this data will be unknown. If this number is not known, this number will be unknown. Line 4; Enter the date of the license, (mm/dd/YYY) from the calendar. If this information is not known, enter a blank, or else choose this option. Line 5; Enter the FCC/FCC license number, (nnnnnnnn) if known, or, (nnnnnnnn) if not or if an FCC/FCC license number is not available. Line 6; Enter the license type, (A/E, TX/Rx, or P). This is to prevent a transaction from using a license type which is already in use. Line 8; Enter the FCC/FCC address of the licensee. If this information is not known, enter a blank, or else choose this option. Line 9; Enter the telephone number from line 1. If this information is not known, enter a blank, or else choose this option. Line 11; Enter the license state or state name from line 3, if known. Line 12; Enter the license area for the license you are entering, (nnnnnnnn) Line 13; Enter the county/district, (nnnnnnnn) Line 14; Add any required text to the top of this line. Line 15; Use a calculator if you have one. Enter the total amount for all items on lines 18-21. Line 17; Type in the last 4 digits of the VHF Is. If you have this information, you may select it from the drop-down menu to the right. Line 18; This is the amount of time that licensees should wait before making a new transaction. If you have this information (or you have known the VHF Is but did not enter it), the time to the next transaction will be the number of hours that have passed since lines 1-10 were entered.

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