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Click ‘Get Form’ to open the ownership disclosure form in the editor.
Begin with Part 1, where you will answer whether any individuals or entities own a 10% or greater interest in the Vendor. Check 'YES' or 'NO'. If 'NO', simply sign and date the form.
If you answered 'YES', proceed to answer questions 2 through 4 regarding the nature of those parties. Provide details about individuals and entities as required.
In Part 2, disclose identifying information for each individual or entity owning a significant interest. Fill in their names, addresses, and other requested details accurately.
Complete the certification section at the end by signing, dating, and providing your name and title along with your FEIN/SSN.
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ALL PARTIES ENTERING INTO A. CONTRACT WITH THE STATE ARE REQUIRED TO COMPLETE THIS FORM PURSUANT TO N.J.S.A. 52:25-24.2. PLEASE NOTE THAT IF THE VENDOR/BIDDERRead more
Aug 8, 2025 PURSUANT TO N.J.S.A. 52:25-24.2, ALL PARTIES ENTERING INTO A CONTRACT WITH THE STATE ARE REQUIRED TO PROVIDE A STATEMENT OF OWNERSHIP.Read more
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