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Click ‘Get Form’ to open it in the editor.
Begin with Section 1, where you will enter the legal name of the disclosing entity, any 'Doing Business As' names, and contact information including phone number and email address.
In Section 2, provide detailed ownership and control interest information. Fill in the names, Social Security numbers, dates of birth, and titles for each individual with ownership interests.
Continue to Section 3 to disclose any additional ownership interests related to mortgages or subcontractors. Answer the yes/no questions carefully and provide necessary details.
Complete Section 4 by answering general disclosure questions regarding criminal offenses or sanctions. Ensure all required explanations are included.
Finally, sign and date Section 5 to certify that all information is accurate. Review your entries for completeness before submitting.
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