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INDIAN RIVER COUNTY <br /> ECONOMIC DEVELOPMENT AD VALOREM ` <br /> TAX ABATEMENT APPLICATION <br /> To be filed in the Community Development Department no later than March 1 of the year the <br /> exemption is desired to take effect. <br /> I. APPLICANT INFORMATION: <br /> Business Name Business Owners Name <br /> Address City State Zip Code <br /> Phone Number Email Website <br /> Contact Person Title <br /> • Letter of authorization from corporate officer if applicant is other than corporate officer(if <br /> applicable, attach to completed application) <br /> Business Unit's Federal Employer Identification Number: <br /> Business Unit's Unemployment Compensation Number: <br /> Which of the following best describes this business: <br /> ❑ New business to Indian River County <br /> ❑ Existing business in Indian River County creating new jobs <br /> If an expansion, how many jobs are currently in the business? <br /> II. PROJECT SITE LOCATION: <br /> Address City State Zip Code <br /> Property Parcel Number(s) <br /> Current Location (if different): <br /> Address City State Zip Code <br /> Property Parcel Number(s) <br /> • Legal description and survey sketch of real property (attach to completed application) <br /> • Verified statement (separate letter naming every individual or entity having legal orequitable <br /> 1801 27th Street, Vero Beach FL 32960 Attachmept 4 <br /> F-\Community Development\Users\EDplannr\Incentives&Funding\Tax Abatements\2010 Tax Abatement\Application\Proposed Revisions Dec 2015\Tax 232 <br /> Abatement Application-Revised 2015.doc <br />