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Submit this worksheet to the local manager of the enterprise zone, throughout the 7 to 15 year period of exemption from property taxes on the facility, once it is operational. Certified Business Firm Contact Person Date of Local Certification (mm/dd/yyyy) Title Telephone Number Name of Business Fax Number Mailing Address (Street/PO Box) City State Zip Code E-mail Address Rural Enterprise Zone Facility Enterprise Zone Where Located City Where Located County Where Located Choos.

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