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<br /> I. BACKGROUND DATA <br /> A. Date ' <br /> B. Business Name (used for tax purposes) <br /> C. Type of Business (check one) <br /> ? C-Corporation ? S-Corporation <br /> ? Limited Liability Corporation (LLC) <br /> ? Partnership ? Sole Proprietorship <br /> D. Date Business 1%Jas Established <br /> E. Location Where Business Was Originally Established (tov.~n or city, state and/or <br /> country) <br /> F. 1) Main Branch or Headquarters Address <br /> 2) Mailing Address (ff different from above) <br /> 3) Enterprise Zone Establishment Address (if different from Main Branch or <br /> Headquarters) <br /> <br />