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BUSINESS CERTIFICATE tI 0qfl <br /> THE COMMONWEALTH OF MASSACHUSETTS <br /> TOWNOFMASHPEE <br /> DATE <br /> Expiration Date: <br /> In conformity with the provisions of Chapter 110,§5 of the Massachusetts General Laws,as amended,the undersigned hereby declare(s) <br /> that a business under the title <br /> ,00ff7� ^ /1f <br /> Business Name1DBA:Lf1��AbK1— PCorporationName <br /> 7a /��/�- )� Commercial '� Residential_ <br /> is conducted at Business Location: t <br /> Business Mailing Address: �� Js / <br /> Business Telephone: <br /> Business Type: <br /> New [ ] Renewal [ ] Home Phone: . <br /> Email Address: '-C.�/r <br /> by the following named persons: <br /> Owner Residence <br /> Owner Name <br /> Second Owner Name Second Owner Address <br /> ify under the penalties of perjury that 1,to the best of my knowledge and belief, have filed all state tax returns and paid all state <br /> es asu ed uncle law. <br /> »ature of auth riz agent **Social Security Number or <br /> nig <br /> or Federal Identification Number(Required) <br /> *This license will not be issued unless this certification is signed by applicant <br /> In case of emergency <br /> Name: Telephone Number: <br /> A]arm Company: <br /> "Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax <br /> payment obligations. Licensees who fail to correct their non-Fling or delinquency will be subject to license suspension or revocation. This request <br /> is made under the authority of Chapter 62C.§49A of Massachusetts General Laws. _ <br /> The Commonwealth of Massachusetts <br /> BARNSTABLE ss "� I- DATE---.--T— <br /> Personally appeared before me the above-named t`U be, or1n and made oath that the foregoing 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 renewed each <br /> four years thereafter to as such b sine b . ducted and shall lapse and be void unless so renewed. <br /> :ped <br /> Notary Public <br /> SEALNotary Public Qj - a s - a O 1 l <br /> Margaret C. Santos <br /> ��,;Commonweaflh of Massachusetts <br /> commission Expires: <br /> My Commission Expires on Sept.22,2017 <br />