Hs200 form 2025

1. Click ‘Get Form’ to open the hs200 form in the editor.
2. Begin by filling out Section A, Application Information. Select the type of application you are submitting and provide the effective date of any ownership changes if applicable.
3. In Section B, Licensee Information, enter the full legal name of the licensee, their federal employer’s tax ID number, and select the owner type. Ensure all contact details are accurate.
4. Proceed to Section C for Facility Information. Enter the proposed facility name and address, along with details about management agreements if applicable.
5. Complete Section D regarding Property Information by indicating property ownership status and providing necessary documentation.
6. Finally, review all sections for accuracy before signing in Section F to accept responsibility for compliance with local ordinances.

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