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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br /> your business entity. <br /> Corporation , �J ^, (4 <br /> [Service Prov is Complete Lega Name]]v <br /> By: <br /> Typed/ it Nam : L <br /> Its: <br /> Date: /'Z'CVO <br /> Partnership <br /> (general) [Service Provider's Complete Legal Name] <br /> a Washington general partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> a Washington limited partnership <br /> By: <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> Sole <br /> Proprietorship Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> • <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> • <br /> Page 11 <br /> 2020 Claims Investigation PSA <br />