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Virginia Department of Social ServicesAUXILIARY GRANT CERTIFICATION
REPORTING PERIOD July 1, 2010, to June 30, 20111. Facility Information
Facility Name
Owner/Licensee Name
Facility Address
City
Facility
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What is ownerlicensee name?
Owner/licensee name refers to the individual or entity that owns or holds the license for a particular property or business.
Who is required to file ownerlicensee name?
The owner or licensee of a property or business is typically required to file the owner/licensee name.
How to fill out ownerlicensee name?
You can fill out the owner/licensee name by providing the full legal name of the individual or entity that owns or holds the license.
What is the purpose of ownerlicensee name?
The purpose of owner/licensee name is to identify the legal owner or licensee of a property or business.
What information must be reported on ownerlicensee name?
The information that must be reported on owner/licensee name includes the full legal name of the individual or entity, as well as any relevant license information.
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