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III. DECLARATION . <br /> <br /> I, the undersigned representative of the business firm for which this Application is being <br /> submitted, declare that this Application has been examined by me and is, to the best of my <br /> knowledge, an accurate statement. <br /> <br /> PRINT NAME OF APPLICANT: <br /> Signature of Applicant: <br /> Applicant's Title or Position: <br /> Applicant's Taxpayer Identification <br /> <br /> or Social Security Number: <br /> COUNTY: <br /> APPROVED DISAPPROVED DATE <br /> DBEDT: <br /> APPROVED DISAPPROVED DATE <br /> QUESTiONS7 Call the following numbers: <br /> Molokai an Ianai: 1-800-465.4644; Oahu: 586-2593 ; <br /> Hawaii: 974-4000; Maui: 984-2400; Kauai: 274-3141 <br /> (If not calling from Oaltu, dia16-2593 after you have reached the number you dialed above.) <br /> <br />