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Proposal for Towing Services <br />1. Business Name: -------- <br />2. Business Address:------------------------ <br />Phone: ________ City: __________ Zip : _____ _ <br />Mailing Address: _______________________ _ <br />City: _______________ Zip:------ <br />State type of business enterprise (e.g. corporation, association, partnership, organization, joint venture, <br />trust, foundation, firm, group, society, individual natural person, etc.): <br />3. NAME ALL OWNERS, OFFICERS, AND PERSONS HAVING AN INTEREST IN THE TOWING AGENCY: <br />(Attach additional sheets if necessary) <br />a. NAME SS# <br />ADDRESS PHONE <br />CITY STATE BIRTHDATE <br />b. NAME SS# <br />ADDRESS PHONE <br />CITY STATE BIRTHDATE <br />c. NAME SS# <br />ADDRESS PHONE <br />CITY STATE BIRTHDATE <br />d. NAME SS# <br />ADDRESS PHONE <br />CITY STATE BIRTHDATE <br />e. NAME SS# <br />ADDRESS PHONE <br />CITY STATE BIRTH DATE <br />4. Has the business enterprise, or any person whose name appears in this application, ever bee n convicted of any <br />crime? __ <br />If so, list the name, the arrest and conviction record of each person: <br />(Attac h Additional sheets if necessary) <br />5. If a corporation, supply the following: <br />A TT A C:HMF.NT "f"" 25 <br />Email address