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SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />ierv' <br />ovider o !etc Legaf ame] <br />By: <br />Typed init. <br />()N1.PrtSrl <br />1ts:5_C,_NIl <br />Da te:� <br />Partnership <br />(general) <br />[Service Prov ider's Complete LegalName] <br />a Washington general partnership <br />By: <br />Typed/Printed Name: <br />Genera 1 Partner <br />Date: <br />Partnership <br />(limited) <br />[Service Provider's Complete Legal Name] <br />a Washington lim ited partnership <br />By: <br />-- <br />Typed/Printed Name: <br />General Partner <br />Date: <br />Sole <br />Proprietorship <br />Typed/Printed Name: <br />Sole Proprietor: <br />Date: <br />Limited <br />Liability <br />Company <br />[Service Provider's Complete Legal Na me] <br />a Washington limited liability company <br />By: <br />Typed/Printed Name: _ _ _ <br />Managing Member <br />Date: <br />Pagel l <br />HDR2020 <br />