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BUSINESS CERTIFICATE# <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWN OF MASHPEE <br /> DATE <br /> Expiration Date:-0&4, <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: Baystate Management Service Corporation Name: is conducted at <br /> Business Location: 7A Riverview Avenue <br /> Business Mailing Address: P.O. Box 556, Mashpee, MA 02649 <br /> Business Type: Real Estate Management Business Telephone: 508-539-3100 <br /> New I I Renewal I I Certificate# 2010-012 Expiration Date 12/31/2013 <br /> Home Phone: 508-477-7706 Email Addres - <br /> ,3d2�@ .vfa <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Burton Kaplan 7A Riverview Avenue, <br /> I certify under the penalties of perjury that I, to the best of my knowledge and belief, have filed all state tax returns and paid all state taxes as <br /> requi law <br /> 030—�a—G6oq <br /> ure ofauthori-re gent "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 /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <br /> '•Your social security number will be furnished to the Massachuscus 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 Massachuseus General Law. Chapter 62C. Section 49A. <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss DATE - �/ <br /> Personally appeared before me the above-named i�(/�7�� !/i'���'N and made oath that the foregoing statement is true. <br /> A certifi issued in accordance with this section shall be in force and effect for four years from the date of issue and shall be renewed each four <br /> years lhercalter s as su•t bu ine all be conducted and shall lapse and be void unless so renewed. <br /> Signed <br /> sEAf. otary Public <br /> • <br /> 49 - 2 s - 0017 <br /> � Notary ubIIC Commission Expires: <br /> Margaret C. Santos <br /> Commonwealth of Mawzhuseus <br /> MY Commission Expires on Sept?2;2017. <br />