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What information must be disclosed on an Out-of-State Consulting Disclosure report?

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What information must be disclosed on an Out-of-State Consulting Disclosure report?

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The following must be disclosed on an Out-of-State Consulting Disclosure report: • name of the person or entity paying the fee (if entity listed a contact person must also be listed) • complete address of the person or entity paying the fee • name of the person to whom the fee was paid • position of the person to whom the fee was paid • complete address of the person to whom the fee was paid • amount of the fee • date the services were rendered • general description of the services rendered In addition, the Out-of-State Consulting Disclosure report must be signed by the person completing the form and be notarized.

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