| State | Form |
|---|---|
| Alabama | 44396 |
| Alaska | 44396 |
| Arizona | 44396 |
| Arkansas | 44396 |
| California | 44428 |
| Colorado | 44396 |
| Connecticut | 44396 |
| Delaware | 51194 |
| District of Columbia | 44396 |
| Florida | 44158 |
| Georgia | 44396 |
| Hawaii | 44396 |
| Idaho | 44396 |
| Illinois | 44396 |
| Indiana | 44396 |
| Iowa | 44396 |
| Kansas | 44396 |
| Kentucky | 44396 |
| Louisiana | 44396 |
| Maine | 44396 |
| Maryland | 44396 |
| Massachusetts | 44396 |
| Michigan | 44396 |
| Minnesota | 44396 |
| Mississippi | 44396 |
| Missouri | 44396 |
| Montana | 44396 |
| Nebraska | 44396 |
| Nevada | 44396 |
| New Hampshire | 44396 |
| New Jersey | 44396 |
| New Mexico | 44396 |
| New York | 40238 |
| North Carolina | 44396 |
| North Dakota | 51194 |
| Ohio | 44396 |
| Oklahoma | 44396 |
| Oregon | 44396 |
| Pennsylvania | 44396 |
| Rhode Island | 44396 |
| South Carolina | 44396 |
| South Dakota | 51194 |
| Tennessee | 44396 |
| Texas | 44396 |
| Utah | 44396 |
| Vermont | 44396 |
| Virginia | 44396 |
| Washington | 44396 |
| West Virginia | 44396 |
| Wisconsin | 44396 |
| Wyoming | 44396 |