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FORM 1583 - Instructions |
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You must complete two (2) originals. Faxed or e-mail copies are not acceptable.
1) Download the form:
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You’ll need Adobe Acrobat Reader to view the form. Click
here
to get it if you don’t have it.
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Click
here
to download the form 1583.
2) Print and fill the boxes of form 1583 as follows:
| BOX
1:
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Date (Month / Day / Year)
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| BOX 2: |
Your Name
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| BOX 3: |
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| BOX 4: |
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| BOX 5: |
Write “Yes” If you would like us to accept “Restricted Delivery
Mail” for you. Write “No” If you would like us not to accept “Restricted
Delivery Mail” for you. Restricted Delivery Mail is mail that can only be
delivered to the addressee or to an authorized agent. Examples: COD, Certified
Mail, etc.
Please note that even if you write “Yes” we may only accept restricted delivery
mail when arranged in advanced by you.
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| BOX
6: |
Your Name
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| BOX 7:
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Your address and phone number.
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| BOX 8: |
Photocopy two (2) ID documents. Send the copies to us along the
with the form 1583. Write the numbers of this documents in a & b.
Acceptable Documents include: valid driver's license or state non-driver's
identification card; armed forces, government, university or recognized
corporate identification card; passport or alien registration card or
certificate of naturalization; current lease, mortgage or Deed of Trust; voter
or vehicle registration card; or a home or vehicle insurance policy.
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| BOX 9: |
Name of Firm or Corporation (Only for business accounts)
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| BOX 10: |
Business address and phone number (Only for business
accounts)
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| BOX 11: |
Kind of Business (Only for business accounts)
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| BOX 12: |
Name of authorized business recipients. Each person must submit
identifications (Only for business accounts)
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| BOX 13:
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Name and Address of officers or business owners (Only for
business accounts)
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| BOX 14: |
Name of Registratio,, Address of registration. Phone of
Registration (only for business accounts)
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| BOX 15: |
Signature and Seal of Notary Public. If a Notary is not
available, an attorney, bank or government official may sign and seal.
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| BOX 16: |
Your original signature |
3) Send via mail or courier the form 1583, copies of the
identification documents, and copy of both sides of the credit card on record
with USA2me, to:
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