ENCLOSED ARE THE FOLLOWING SUPPORTING DOCUMENTS TO THIS APPLICATION (PLEASE CHECK): ____ _ ____ _ ____ _ ____ _ ____ _
1.
CERTIFI CERTIFIED ED TRUE TRUE COPY COPY OF OF LATEST LATEST MAYOR MAYORS S BUSINES BUSINESS S PERMIT PERMIT
!.
PROOF OF O"NERSHIP O"NERSHIP/LA"FU /LA"FULL OCCUPAN OCCUPANCY CY OF PRINCIP PRINCIPAL AL PLACE/HEAD PLACE/HEAD OFFICE OFFICE OF BUSINESS BUSINESS (#.$.% (#.$.% ELECTRIC% ELECTRIC% "ATER OR FIXED TELEPHONE LINE) DELI DELIN' N'UE UENC NCY Y ERI ERIF FICA ICATION TION CER CERTIFI TIFICA CATE TE ISSU ISSUED ED BY THE THE CONC CONCER ERNE NED D LARG LARGE E TAXP AXPAYERS YERS SERICE/NATIONAL/REGIONAL OFFICE "ITH A ALIDITY PERIOD OF ONE (1) MONTH FROM DATE OF ISSUE ORIG ORIGIN INAL AL COPY COPY OF CER CERTIF TIFICA ICATE OF GOOD GOOD STAN STANDI DING NG ISSU ISSUED ED BY THE THE SECU SECURI RITI TIES ES * EXCH EXCHAN ANGE GE COMMISSION/COOPERATIE DEELOP MENT AUTHORITY/NATIONAL ELECTRIFICATION ADMINISTRATION ADMINISTRATION ORIGI ORIGINAL NAL COPY OF SECR SECRET ETAR ARYS YS CERT CERTIF IFICA ICATE TE CERT CERTIF IFYI YING NG THA THAT A BOARD BOARD RESOL RESOLUT UTIO ION N "AS "AS PASSED ASSED AUTHORIZING THE KEY OFFICER/BOARD MEMBER INDICATED IN THE SEC GENERAL INFORMATION SHEET TO SIGN THE APPLICA APPLICATIO TION N FORM "IT "ITH H HIS/HER HIS/HER SPECIMEN SPECIMEN SIGNA SIGNATURE TURE%% PICTURE PICTURE * PHOTOCO PHOTOCOPY PY OF ALID GOERNMENT-ISSUED IDENTIFICATION CARD
&. . +.
I HEREBY DECLARE% UNDER THE PENALTY OF PER,URY% THAT THAT THIS APPLICATION HAS BEEN MADE IN GOOD FAITH% AND THAT THE REPRESENTATIONS INCLUDING THE ACCOMPANYING SUPPORTING DOCUMENTS HAE BEEN ERIFIED BY ME AND TO THE BEST OF MY KN O"LEDGE% BELIEF% AND INFORMATION ARE CORRECT% COMPLETE AND TRUE.
____________________ ___________________ ___ Signature over Printed Name of Authorized Officer
