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Notice Of A Joint Powers Agreement NP SF 404A - California
| Notice Of A Joint Powers Agreement Form. This is a California form and can be used in Special Filings Secretary Of State . |
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State of California Secretary of State FILE NO.____________________________ NOTICE OF A JOINT POWERS AGREEMENT (Government Code section 6503.5) Instructions: 1. 2. 3. 4. Complete and mail to: Secretary of State, P.O. Box 942877, Sacramento, CA 94277-0001. Include filing fee of $1.00. Do not include attachments, unless otherwise specified. A copy of the full text of the joint powers agreement and amendments, if any, must be submitted to the State Controller's office. For address information, contact the State Controller's office at www.sco.ca.gov. (Office Use Only) Name of the agency or entity created under the agreement and responsible for the administration of the agreement: Agency's or Entity's Mailing Address: Title of the agreement: The public agencies party to the agreement are (if more space is needed, continue on a separate sheet and attach it to this form): (1) (2) (3) Effective date of the agreement: _____________________________________________________________________ Provide a condensed statement of the agreement's purpose or the powers to be exercised: RETURN ACKNOWLEDGMENT TO: (Type or Print) NAME ADDRESS CITY/STATE/ZIP _________________________________________ Date _________________________________________ Signature _________________________________________________ Typed Name and Title SEC/STATE NP/SF 404A (REV. 10/2010)
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