Ad 3030-2025

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The document is a form (AD-3030) from the U.S. Department of Agriculture that corporate applicants must complete to disclose felony convictions and tax delinquency status. It outlines the requirements for corporations, including the need to provide information about any felony convictions within the last 24 months and any unpaid federal tax liabilities. The form emphasizes that failure to provide this information may result in ineligibility for USDA contracts or agreements.

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Click ‘Get Form’ to open the ad 3030 in the editor.
Begin by filling out Part A – APPLICANT. Enter the applicant's name, address (including zip code), and the last four digits of the tax ID number.
Respond to questions 4A, 4B, and 4C regarding felony convictions and unpaid federal tax liabilities. Select 'YES' or 'NO' as applicable.
In Part B – SIGNATURE, provide the applicant's signature, title or relationship if signing on behalf of someone else, and the date signed in MM-DD-YYYY format.
Review all entered information for accuracy before finalizing your form.

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