Form 3604-A Ownership Transfer Affidavit Addendum for Icf / Iid - Texas

Form 3604-A Ownership Transfer Affidavit Addendum for Icf / Iid - Texas

What Is Form 3604-A?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 3604-A?
A: Form 3604-A is an Ownership Transfer Affidavit Addendum for ICF/IID (Intermediate Care Facility/Intellectual and Developmental Disability) in Texas.

Q: Who needs to fill out Form 3604-A?
A: Form 3604-A needs to be filled out by individuals or organizations transferring ownership of an ICF/IID facility in Texas.

Q: What is an ICF/IID facility?
A: ICF/IID stands for Intermediate Care Facility for Individuals with Intellectual Disabilities. It is a type of healthcare facility that provides residential care and support services to individuals with intellectual disabilities.

Q: What is the purpose of Form 3604-A?
A: The purpose of Form 3604-A is to document the transfer of ownership of an ICF/IID facility in Texas and provide the necessary information to the proper authorities.

Q: Is there a fee for filing Form 3604-A?
A: There may be a fee associated with filing Form 3604-A. It is best to check with the relevant state agency or consult the instructions for the form.

Q: Are there any deadlines for filing Form 3604-A?
A: Specific deadlines for filing Form 3604-A may vary. It is important to comply with the instructions and requirements of the relevant state agency.

Q: What should be included in Form 3604-A?
A: Form 3604-A requires information about the current and new owners of the ICF/IID facility, details of the transfer, and any required supporting documentation.

Q: What happens after Form 3604-A is submitted?
A: After Form 3604-A is submitted, the relevant state agency will review the information, process the transfer of ownership, and provide any further instructions if necessary.

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Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 3604-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3604-A Ownership Transfer Affidavit Addendum for Icf / Iid - Texas

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  • Form 3604-A Ownership Transfer Affidavit Addendum for Icf / Iid - Texas, Page 1
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