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Bonding Assistance – Contractor's Fee Reimbursement Program Application

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  3. (valid email required)
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  13. Prior Reimbursement Request?
 

I certify that the applicant has filed or caused to be filed all federal, state, and local tax returns and has paid all past due taxes. Applicant further certifies that it currently does not owe the City of Newark any fees for licenses, open permits, utility payments, or any other outstanding debts.

BY SUBMITTING THIS FORM I CERTIFY THAT ALL INFORMATION ON THIS FORM IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.