Ps Form 1583-A - Application To Act As A Commercial Mail Receiving Agency Page 2
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2Privacy Act Statement
Privacy Act Statement: Your information will be used to authorize
the delivery of intended addressees' mail to you as their agent.
Collection is authorized by 39 U.S.C. 401, 403, and 404.
Providing the information is voluntary, but if not provided, we cannot
provide this service to you. We do not disclose your information
without your consent to third parties, except for the following limited
circumstances: to a congressional office on your behalf; to financial
entities regarding financial transaction issues; to a U.S. Postal
Service auditor; to entities, including law enforcement, as required
by law or in legal proceedings; to contractors and other entities
aiding us to fulfill the service; and for the purpose of identifying an
address as an address of an agent who receives mail on behalf of
other persons. Information concerning an individual who has filed
an appropriate protective court order with the postmaster will not be
disclosed except pursuant to court order. For more information
regarding our privacy policies visit
1583-A,
PS Form
June 2011 (Reverse)
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