"Request to Waive Imposed Fine" - Colorado

Request to Waive Imposed Fine is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on December 1, 2011;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

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Download "Request to Waive Imposed Fine" - Colorado

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Request to Waive Imposed Fine
For office use only
Colorado Secretary of State
Phone: 303-894-2200
Lobbyist Section
Fax: 303-869-4871
1700 Broadway, Ste. 200
Email: lobbyists@sos.state.co.us
Denver, CO 80290
Your information
Professional lobbyist
Lobbyist firm
Name
Address
City
State
ZIP Code
Phone number
Email address
Due date of delinquent report
Date filed
Amount of late filing fee
$
Was the delinquent report an amendment?
Yes
No
Reason for request
Explain the reason for late filing. Attach any supporting documentation. Note that fine can only be reduced or waived in the case of
a bona fide personal emergency.
Signature
I declare and certify under penalty of perjury that the information contained in this request for waiver of imposed fine is true, correct
and complete to the best of my knowledge and belief.
Signature
Date
LOBBY_WAVFINE
Page 1 of 1
Rev. 12/01/2011
Print Form
Request to Waive Imposed Fine
For office use only
Colorado Secretary of State
Phone: 303-894-2200
Lobbyist Section
Fax: 303-869-4871
1700 Broadway, Ste. 200
Email: lobbyists@sos.state.co.us
Denver, CO 80290
Your information
Professional lobbyist
Lobbyist firm
Name
Address
City
State
ZIP Code
Phone number
Email address
Due date of delinquent report
Date filed
Amount of late filing fee
$
Was the delinquent report an amendment?
Yes
No
Reason for request
Explain the reason for late filing. Attach any supporting documentation. Note that fine can only be reduced or waived in the case of
a bona fide personal emergency.
Signature
I declare and certify under penalty of perjury that the information contained in this request for waiver of imposed fine is true, correct
and complete to the best of my knowledge and belief.
Signature
Date
LOBBY_WAVFINE
Page 1 of 1
Rev. 12/01/2011
Print Form