Affidavit To Support The San Francisco New Jobs Tax Credit Application

AFFIDAVIT TO SUPPORT THE SAN FRANCISCO

NEW JOBS TAX CREDIT APPLICATION

Business Tax ID No.*

Certificate No.*

Our fixed place of business is located within San Francisco at the following address:

On or after July 1, 1993, we created

permanent new jobs in San Francisco.

We understand that the facts supporting our application for the New Jobs Tax Credit, as set forth in this

Affidavit and on the attached worksheet, may be audited by the San Francisco Tax Collector.

We declare, under penalty of perjury, that we have examined this statement and the accompanying document, and that the

information contained herein is true and complete to the best of our knowledge and belief.

Signed:

Date: ______/______/______

Title:

Business Phone: (

)

Refer to the Business Receipts and Payroll Tax Statement, top left had corner, for the Business Tax ID and

Certificate numbers.

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Parent category: Financial