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•r BUSINESS CERTIFICATE 2l 1 �-0 CYy <br /> TOWN OF MASHPEE f1�–`1 v I� �•! <br /> Date: Y <br /> Expiration Date: 31 <br /> In conformity with the provisions of Chapter one hundred and ten, Section five of the General Laws, as <br /> amended, the undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: New Seabury Marina Corporation Name: New Seabury Marina, LLC <br /> is conducted at Business Location: 135 Daniels Island Road <br /> Business Type: Marina <br /> New JK ] Renewal [ ] --Commercial [ ] Residential [ J Email Address:rita@newseaburyre.com <br /> Business Mailing Address: 12 Mallway Mashpee, MA 02649 <br /> Business Telephone: 508-477-9197 Home [ J Cell [ J Phone: 508-477-9197 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Christopher Burden 24 Mallway, Mashpee, MA 02649 <br /> • 1 certify unc ,e enalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state t e S W-11. <br /> t er <br /> / <br /> 34-2066810 <br /> 'Signature of authorized agent "Social Security Number (Voluntary) <br /> -This license will not be issued unless this certification is signed by applicant or Federal Identification Number <br /> In case of emergency <br /> NAME: Br3.^ I.etais TELEPHONE NUMBER: 617--594-212:7 (cell) <br /> Alarm Company: N/A <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax <br /> filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or <br /> revocation. This request is made under the authority of Massachusetts General Law,Chapter 62C,Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE, ss DATE January 9. 2014 <br /> Personally appeared before me the above-named Christopher Burden and made oath that the foregoing <br /> statement is true. <br /> A certificate issued in accordance with this section shall be in force and effect for four years from the date of issue and shall be <br /> renewed cact),fur ears hcrea ner so Ib as such busi Ess shall be conducted and shall lapse and be void unless so renewed. <br /> • Signed f Notary Public <br /> _ Commission Expires OITA S BEY9UNf <br /> Ats Notary Public <br /> •,;� �� Commonwealth of Massachusetts <br /> My Commission Expires <br /> February 9, 2018 <br /> rt <br />