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12 E. ADDITIONAL DOCUMENTATION AND CHECKLIST Applicants will also be required to provide the following documentation. ______ A) Written business plan, including a description of the business, ownership/management, date established, products and services, and future plans _______B) Financial Statements for Past Three Years (if existing business) Profit & Loss Statement Balance Sheet _______C) Current Financial Statements Profit & Loss Statement to Date Balance Sheet to Date _______D) Two Year Financial Projections, inc. Profit & Loss, Balance Sheet, Cash Flow Statement. Please list assumptions, inc. estimated personnel levels and sales growth. _______E) Personal Financial Statements of all Major Shareholders with a 10.0% or greater ownership interest if “Up Front” Financing are Requested _______F) Letter of Commitment from Applicant Pledging to Complete During the Proposed Project Duration _______G) Application fee of $1000 _______H) Itemized Project Construction Statement from contractor for projects over $500,000 _______I) Additional information that will be helpful in evaluating your application Note: All Major shareholders will be required to sign personal guarantees if up front financing of the project is required. The undersigned certifies that all information provided in this application is true and correct to the best of the undersigned’s knowledge. The undersigned authorizes the Mounds View Economic Development Authority to check credit references and verify financial and other information. The undersigned also agrees to provide any additional information as may be requested by the Authority after the filing of this application. Applicant Name Date By Its M.V. Tax Rebate Policy 9.22.03 Final