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- Click ‘Get Form’ to open the dr 418e form in the editor.
- In Part 1, enter the date you purchased the location and your business name. Fill in the date you began business at this facility and the date it was licensed by the appropriate authority.
- Provide your mailing address, along with the name of the owner or person in charge, and their phone number. Ensure you include the exact legal description and street address of the property.
- Certify that the facility is owned by the listed person and used as a child care facility. Sign, add your title, and date this section.
- For Part 2, leave this section blank for completion by the Enterprise Zone Development Agency after they review your application.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 1999 | 4.8 Satisfied (304 Votes) |
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care facility application exemption certification
Personal Wage Record, ISD Form 418 (See Attachment D); or a business plan with a prospective estimate of earnings for start-up self employment.
Oct 2, 2013 property tax forms are posted on our form page .095 DR-418E 196.1995