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project end? D. 50, 000 E. Value of new equipment or machinery: Please contact One Okaloosa EDC prior to completing this application. One Okaloosa EDC mustformally present these documents to the respective governing from the Property Appraiser. bodies with a completed/ signed DR- 418 and exemption schedule Economic Development Ad Valorem Tax Exemption Supplemental Application F. What year will the last piece of equipment be • urchased? 2022 SIGNATURES The undersigned person hereby affirms that he or she has been duly authorized and empowered to verify, execute and deliver this Application, that he or she has read this Application( including all attachments hereto) and he or she has knowledge of all of the facts stated herein, and that this Application, and all information submitted in connection herewith, is complete and accurate and contains no misstatements, misrepresentations, or omissions of material facts, to the best of his or her knowledge and belief. Zle-) i/ DatiT2 4 1\ AV. 10 June 2021 Signature p Ce0A+'Gl D- A/ 17AL— Name Phone Number I Title E- mail Address ICompany ANNUAL RENEWAL PROCESS CONTACT INFORMATION Please identify the contact information for the EDATE Annual Renewal Process( individual responsible for renewal process) u_` rri Name Title Phone Number E- Mail Address Mailing Address Please be sure to attach the proper incentive attachment sheet( DR-418)*** Please contact One Okaloosa EDC prior to completing this application. One Okaloosa EDC must formally present these documents to the respective governing Appraiser. bodies with a completed' signed DR- 418 and exemption schedule from the Property D O DC / N 7 7 0 CO CO 3 c C v E m z 13 CD CD n z 0 e, N N C7' CM 74 O 7 O 7 rD > d d O a N N N N N N N N N N 1 N N 00. O, . .- N N N N N N N N 00- 0 , 0 1 0 000, 000, 000 , o O 3 rt, C.) c W N N N N N N N W W W N N N N N N N O O U CO O CO - I CO Cn A W d N) O O ( b V O) ( T A Co) d cm N 1 CO 1 1 - i - i 1 1 1 1 - 1 1 1 - I- 1 1 1 1 1 1 1 ry CD A n is C' I yi CD CD CO O d d d d d d d d d d N O d d X d X d X d X d X d d X % % d d o 0 7, C X % X X % X % % % x O X O pl J d d d d d d d d d d ti d d d d d d d d d d 7, < c o c v c c C c C C c m

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