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State of CaliforniaProposedDepartment of States Hospitality Statement reserved for Personnel SectionMH3002 (Rev. 4/1/10)RPA #Employee Name Vacant Position No / AgencyUnitClassSerial 4612504179XXXDivision
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The California Department of State.
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The form can be filled out online or by mail using the instructions provided by the California Department of State.
The purpose is to report information to the state government for regulatory and tax purposes.
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