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BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE / � <br /> Expiration Date: 7 17 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws; as amended, the undersigned hereby <br /> declare(s) that a business under the title of <br /> Business Name/DBA: Cape Cod Retirement <br /> % <br /> nt and Estate Planning Corporation Name: yyJis conducted at <br /> Business Location:-6 ` / ��T� �� 1 oy'l /�/ If <br /> Business Mailing Address: PO Box 2357,Mashoee,MA 02649 <br /> Business Type: Financial Planning Business Telephone: 508-477-7403 <br /> New Renewal [1 Certificate# 2005-030 Expiration Date 1/31/2008 <br /> Home Phone: 508-477-7403 Email Address: <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Jeffrev Woerdeman 41 Vista Circle,Mashpee, MA 02649 <br /> ��� certinu_t18 the pe ' ry that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state taxes as <br /> / required under <br /> e author' a nt "Social Security Number(Voluntary) <br /> or Federal Identification Number <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> � ' / <br /> NAME; ��`�fG (/t! �'/ TELEPHONE NUMBER: <br /> Alarm Company: <br /> "Your social security number will he famished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment <br /> obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under <br /> the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Cooinronwealth ofMussuc iusetts <br /> BARNSTABLE ss /y� DATE <br /> Personally appeared before me the above-named V��/�� �IIZIJnd made oath that the foregoing statement is true. <br /> rt.ficatc issued in accordance with this section shall be '/force and effect for four years from the date of issue and shall be renewed each four <br /> years tcre, er so ch business shall be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> peb"h Ory Notary Public <br /> • SEAL .` a_,",,�,,,�y. <br /> �K♦1 �T�Nass�+�� _'— Commission Expires: <br />