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Pennsylvania Public Utility Commission Bureau of Technical Utility Services rev 6/30/19NOTIFICATION OF ADDRESS CHANGE FOR CERTIFICATE, PERMIT, AND BROKERAGE LICENSE HOLDERS COMPANY NAME A TRADE NAME
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How to fill out PA Notification of Address Change for Certificate Permit and

01
Obtain the PA Notification of Address Change form from the relevant state authority's website or office.
02
Fill in the required personal information, including your name, current address, and new address.
03
Include your Certificate Permit number in the appropriate field.
04
Provide the date of the address change.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed form to the designated authority, either by mail or in person, as instructed on the form.

Who needs PA Notification of Address Change for Certificate Permit and?

01
Anyone who has a Certificate Permit issued by the state of Pennsylvania and has changed their residential address needs to submit this notification.
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The PA Notification of Address Change for Certificate Permit is a form that must be submitted to notify the Pennsylvania Department of State of any changes to the address of a certificate permit holder.
Any individual or entity that holds a certificate permit in Pennsylvania and experiences a change in address is required to file the PA Notification of Address Change.
To fill out the PA Notification of Address Change, you need to provide your current certificate permit number, the old address, the new address, and any other required identifying information as specified on the form.
The purpose of the PA Notification of Address Change is to ensure that the Pennsylvania Department of State has accurate and up-to-date information regarding the address of certificate permit holders, which is important for regulatory compliance and communication.
You must report your certificate permit number, the old address, the new address, and any additional information requested on the form, such as contact details or the reason for the address change.
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