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' BUSINESS CERTIFICATE,2 <br /> TOWN OF MASHIPEE <br /> i <br /> Date: �� a' d4 z3f2DlS <br /> Expiration Date: <br /> In conformity with the provisions of Chapter 110, §5 of the Massachusetts General Laws, as amended, the <br /> undersigned hereby declare(s)that a business under the title of <br /> Business Name/DBA: Spinnaker Real Estate Corporation Name: <br /> is conducted at Business Location: 20 Pontiac Road Certificate No. 2011-015 <br /> Business Type: Real Estate <br /> New I ] Renewal [ ] Commercial [] Residential [ ] Email Address: <br /> Business Mailing Address: PO Box 492 Mashpee, MA 02649 <br /> Business Telephone: 508-776-1973 Home [ ] Cell [ ] Phone: 508-477-4396 <br /> by the following named persons: <br /> Owner Name Owner Residence <br /> Gerald Umina <br /> �I certify under the penalties of perjury that 1, to the best of my knowledge and belief, have filed all state tax returns and paid <br /> all state t xes ss re uired under I w. <br /> *Signature of aut ore agent **Social Security Number <br /> *This licene will not be issued unless this certification is signed by applicant or Federal Identification <br /> Number(Required) 0 (`J` 3`( 5' 25 <br /> In case of emergency <br /> NAME: TELEPHONE NUMBER: <br /> Alarm Company: <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 subiect to license suspension or <br /> revocation. This request is made under the authority of Chapter 62C,§49A Massachusetts General Laws <br /> The Common wealUrofMassachusetts ;2- a3 f <br /> BARNSTABLE: ss DATE <br /> Personally appeared before me the above-named Ce✓Zr Q (.(iGN i`7.r�1 and made oath that the foregoing <br /> statement is true. <br /> A certific.te issu d in a5fordance with this section shall be in force and effect for four y rs from the date of issue and shall be <br /> renewed each ur hers tl reaft so I gas such business shall be conducted and shall lapse and a oid unless so renew <br /> •Signed i, Notary Public 9Commission Expires <br /> Q Deborah Dami <br /> NOTARY PUBLIC, ` <br /> Commonwealth of Massachusetts <br /> My Commission Expires July 29,2016 <br />