It has come to our attention that a new form, Ao 435, has been released by the IRS. This new form is used when applying for an exemption from the shared responsibility payment for not maintaining health insurance coverage. In order to ensure that you are using the most up-to-date information when completing your tax return, we advise that you use Form Ao 435 when applying for this exemption. For more information on this new form and how to apply for the exemption, please visit our website. Thank you for choosing our company as your tax preparer!
| Question | Answer |
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| Form Name | Form Ao 435 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ao435 transcript order form ao 435 |
✎ AO 435 |
Administrative Office of the United States Courts |
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FOR COURT USE ONLY |
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(Rev. 12/03) |
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DUE DATE: |
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PLEASE READ INSTRUCTIONS ABOVE |
TRANSCRIPT ORDER |
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1. NAME |
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2. PHONE NUMBER |
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3. DATE |
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4. MAILING ADDRESS |
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5. CITY |
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6. STATE |
7. ZIP CODE |
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8. CASE NUMBER |
9. JUDGE |
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DATES OF PROCEEDINGS |
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10. FROM |
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11. |
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12. CASE NAME |
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LOCATION OF PROCEEDINGS |
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13. |
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14. |
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15.ORDER FOR APPEAL
CRIMINAL CIVIL
CRIMINAL JUSTICE ACT IN FORMA PAUPERIS
BANKRUPTCY OTHER
16. TRANSCRIPT REQUESTED (Specify portion(s) and date(s) of proceeding(s) for which transcript is requested)
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PORTIONS |
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DATE(S) |
PORTION(S) |
DATE(S) |
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VOIR DIRE |
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TESTIMONY (Specify Witness) |
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OPENING STATEMENT (Plaintiff) |
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OPENING STATEMENT |
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CLOSING ARGUMENT (Plaintiff) |
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CLOSING ARGUMENT (Defendant) |
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OPINION OF COURT |
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JURY INSTRUCTIONS |
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OTHER (Specify) |
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SENTENCING |
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BAIL HEARING |
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17. ORDER |
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CATEGORY |
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ORIGINAL |
FIRST |
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ADDITIONAL |
NO. OF PAGES ESTIMATE |
COSTS |
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(Includes Free Copy |
COPY |
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COPIES |
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for the Court) |
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ORDINARY |
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NO. OF COPIES |
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EXPEDITED |
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NO. OF COPIES |
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DAILY |
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NO. OF COPIES |
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HOURLY |
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NO. OF COPIES |
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CERTIFICATION (18. & 19.) |
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By signing below, I certify that I will pay all charges |
ESTIMATE TOTAL |
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(deposit plus additional). |
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18. SIGNATURE |
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PROCESSED BY |
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19. DATE |
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PHONE NUMBER |
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TRANSCRIPT TO BE PREPARED BY |
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COURT ADDRESS |
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DATE |
BY |
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ORDER RECEIVED |
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DEPOSIT PAID |
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DEPOSIT PAID |
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TRANSCRIPT ORDERED |
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TOTAL CHARGES |
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TRANSCRIPT RECEIVED |
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LESS DEPOSIT |
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ORDERING PARTY NOTIFIED |
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TO PICK UP TRANSCRIPT |
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TOTAL REFUNDED |
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PARTY RECEIVED TRANSCRIPT |
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TOTAL DUE |
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(Previous editions of this form may still be used) |
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DISTRIBUTION: |
COURT COPY |
TRANSCRIPTION COPY |
ORDER RECEIPT |
ORDER COPY |
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