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Form N-172, Rev. 2020, Claim For Tax Exemption by
IN THE CASE OF A CORPORATION, PARTNERSHIP, OR LLC, THIS FORM MUST BE SIGNED BY AN OFFICER, PARTNER OR MEMBER, OR DULY AUTHORIZED AGENT. Taxpayer Signature (
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Advanced Roadside Impaired Driving Enforcement:
Upon completion of this session, the participant will be able to: . Explain the goals and objectives of this course.
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CLAIM FOR EXEMPTION
This exemption is in addition to the regular Claim for Home Exemption. Impairment or disability must be certified by a licensed physician or optometrist.
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