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Print Forrest Formulate OF CALIFORNIADEPARTMENT OF FINANCEPAYEE DATA RECORD(Required when receiving payment from the State of California in lieu of IRS W9 or W7) STD 204 (Rev. 5/2018)12INSTRUCTIONS:
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To fill out agency department/office address, follow these steps:
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Start by entering the name of the agency or department at the top of the address field.
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Specify the floor or suite number, if applicable.
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The agency department/office address shown is the physical location of the department or office responsible for handling particular matters within an organization.
The individual or entity responsible for managing the affairs of the department or office is required to file the agency department/office address shown.
To fill out the agency department/office address shown, one must provide the complete address including street address, city, state, and postal code.
The purpose of the agency department/office address shown is to establish a point of contact for external communications and official correspondence related to the department or office.
The information reported on the agency department/office address shown usually includes the name of the department or office, physical address, contact person, and contact information.
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