The State of Tennessee requires all businesses to file Form PH1654 with the Department of Revenue each year. This form is used to report important financial information and determine a business's annual income tax liability. While many business owners may be familiar with filing other types of forms, it is always important to understand what exactly you are filing when submitting this form so that you can accurately complete the process. In this post, we'll cover everything you need to know about Form PH1654 including why you need to file it, how to obtain a copy, and what information should be included in your submission.
| Question | Answer |
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| Form Name | Tn State Form Ph1654 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | tennessee birth certificate sample, tennessee, 2019, tennessee birth certificate application pdf |
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TENNESSEE DEPARTMENT OF HEALTH |
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OFFICE OF VITAL RECORDS |
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APPLICATION FOR CERTIFIED COPY OF A TENNESSEE CERTIFICATE OF BIRTH |
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(La versión en español al reverso de la página) |
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Date: |
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Number of Copies |
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Enclose $15.00 for each copy |
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Copy of Voluntary Acknowledgment of Paternity- $5.00 each copy |
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(When purchased with a certified copy of the birth certificate.) |
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Full name on birth certificate: _______________________________________________________________________________________________________
First |
Middle |
Last Name |
Has the name ever been changed other than by marriage?
Yes
No
If yes, what was original name? _____________________________________________________________________________________________________
Date of birth: |
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Sex: __________________________________________ |
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Month |
Day |
Year |
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Place of birth: |
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City |
County |
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State |
Foreign Country (if Report of Foreign Birth) |
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Hospital where birth occurred: |
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Full name of father: |
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Full maiden name of mother: |
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Last name of mother at time of birth:
Next older brother or sister:Younger: ________________________________________
Signature of person making request: ______________________________________________________________________________
Relationship: ____________________________________________________________________________________
Purpose of copy:
Telephone number and email where you may be reached for additional information:
(_______)________________________________ ___________________________________@_______________________________
IT IS UNLAWFUL TO WILLFULLY AND KNOWINGLY MAKE ANY FALSE STATEMENT ON THIS APPLICATION. Records are filed in this office for the past 100 years; and over 100 years are available at the TN State Library and Archives.
A fee of $15.00 is charged for the search of the records and includes one copy of the record if located. Search fees are non- refundable if the record is not on file. All items must be completed and appropriate fees attached to process this request. Do not send cash. Send check or money order payable to: Tennessee Vital Records. In addition, unless this application is notarized, you must send a photocopy of a VALID government issued ID showing your signature. If you have not received a response within 45 days, please write or call Tennessee Vital Records at (615)
PRINT NAME AND ADDRESS BELOW FOR OUR RECORDS
Please remember to include the Fee and a Copy of your ID. (Note: The request will be returned if not included.)
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Mail Your Application To: |
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Name |
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Tennessee Vital Records |
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Andrew Johnson Tower, 1st Floor |
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Address or Route |
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710 James Robertson Parkway |
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Nashville, TN 37243 |
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City and State |
Zip Code |
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SW16 |