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Complete the form below and return. Make check or money order payable to Annual Records Service.
Return envelope included. Your signature on this form is your acceptance for the Annual Records Service to act as your paid preparer to file this BOS on your behalf.
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Companies who willfully provide false information or neglect to report by the filing deadline can face a civil penalties of up to $500 for each day that the violation continues or has not been remedied. In addition, they can be fined up to $10,000 and/or face up to 2 years of imprisonment.