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<br />200_ CABARRUS COUNTY INDUSTRIAL l1~CENTIVE GRA.NT QUESTIONNAIRE <br />"FOR ASSETS WHICH QUALIFY FOR INDUSTRIAL GR~~T ONLY" <br />ALL l1'ITOR1\BTION AS OF JA...'W.illY 1, (yt>:u") <br /> <br />; <br /> <br />r~-'sinessName: 7'),'(e.S /fY'J1~n~cq / ov/J(J r<liJ~ <br />1- .;inning Construction Date: 1lc III I ;) () () c) <br />!A;tidpated Completiun Date: 0/" 1/+ E~~<1"''5,i'1''l ..J7( Iv ~()I)j l/~r;; I MttCIt;''1('!i'-/ .... \t"/-J, Zc.)Oh <br />~tidpated Total Project Investment: 1- I (c J ago" I / I <br />I Project Contact (Name, Address, Teleph~ne): M/c ~(H.I ~<iltde /.... Oile5 k'l"'Y'/CA (6r.(? <br />~ 4r?O tfit/t'YIJ05e lJ.e. AJtJ <br />f(,'41'.t'~/~ de ::+t!o,,J. 7 <br />7(J '-1- 7!tl- c;i.rOC1 ~xl:' :3i7~ <br />I II J 2. co (p <br /> <br />. <br /> <br />Desired Tax Year Incentive Grantto Begin: <br />I <br />i <br /> <br />REAL PROPERTY <br /> <br />Percent(%) Complete as ofJanuary1,1H'W: :2cJoft; )(/O/l) I<fM4.fl port,.'Vl !Il:.UJ ..fc 114C;rt.. h..d~J <br /> <br />Total Investment as of January 1, !ycnfl:j..OOltLand: $ - q "'improveme~: $ :1; /eJR 1 'I.li <br />Total Anticipated Investment in Real Property (Excluding Land Cost Reported Above): $ .} .360,. DO 0 <br /> <br />Provide detail of construction costs by arl~ of functipn such as manyfacturing'ladministrative, warehouse, etc. Attach detail of costs and square <br />feet of each area): .v.P.O ft&/.--ed S,/JrC4aS~Ce-rs _ <br /> <br />Provide detail of construction costs by features such as a!phalt, concr~te ~aling, )ight Jland.ards, spri~klel systems, elevators, etc. (Attach detail of <br />costs and squarefeetofeach area where applicable): <ee 11- HtlCMr"/f/ S'Or,!tttfSt-..t!'/p-!:.S <br />. <br /> <br />PERSONAL PROPERTY <br /> <br />Complete section below, listing assets at 100% cost by year of acquisition. Include only those assets purchased at initial date of construction' <br />And during construction phase. Do not include assets purchased to replace pre-existing asset inventory or transfers-in. <br /> <br />- I Machinery & Equipment Office Furniture and Fixtures Computer Equipment <br />,ar <br />Acquired 100%Cost Office Use Only 100% Cost Office Use Only 100% Cost Office Use Only <br />'1-00." ,.J b '17 5"/~ tI:~ ' tin ( 1/1.l)',~o .~ <br />-:;;j /.JEl 7 1.'1 :3' 1 (j 7t/. '. . <br /> ( <br /> . <br />Year Leasehold Improvements. Other (Specify): Other (Specify): <br />Acquired 100% Cost Office Use Only 100% Cost Office Use Only 100% Cost Office Use Only <br />; <br /> <br />Total 100% cost of supplies not held for sale associated with new construction:. .......$ <br />Tangible personal property under construction (CIP):.......................:...............$ - <br /> <br />. <br /> <br />Attach list of unlicensed vehicles (by type, year, size, vehicle, LD. #, purchase date, cost) associated with new construction. AJ~ <br /> <br />If you have leased assets on site owned by another taxpayer or depreciable personal property tha~you rent or lease to another, attach list with <br />description, acquisition djlfeNOOr~ cost, yearly rental and address of lessor/ee. AI fA . <br /> <br />\ 1/ -1/ . A . I . .. <br />Authorized Signature: '-., , rA Jl ____ I ,J, ~ v Title: -/fCC(Ji.L f1 nll4 IllfLIP" <br />f j H*For Office Use Only*H j v <br />Personal !teal Real (Base Year) Personal (Base Year) Incentive Grant <br /> <br />Verification of Payment: <br />:l <br /> <br />Account Number(s) <br /> <br />..- <br /> <br />.i ,'.; T,,"' <br /> <br />(5-\ <br />