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All submitted information is confidential, and will be used solely for the purpose of this application and its review. You will be contacted if additional information is required. Please contact the Community & Economic Development Office ( email@example.com ) for more information.
Requests should be based on fixed costs, verifiable business losses, and additional expenses related to COVID-19, for the period beginning March 10, 2020, and ending September 30, 2020. Please provide your best estimate of projected financial impacts. Additional information may be requested.
Joint ownership organizations may be required to provide additional information
Clinton, MA 01510
Additional information may be requested.
e.g. insurances, debt maintenance, licenses, other fixed costs
as of March 1, 2020
Please provide best estimate
e.g. increased cleaning/ disinfecting, compliance costs
Please download and complete the following documents. Responses may be uploaded to application or emaied as attachments to firstname.lastname@example.org. Please include your business name in the subject line of email correspondence. Documentation can also be mailed to the Community & Economic Development Office, Clinton Town Hall, 242 Church Street.
download W-9 here
If business is new, most recent year personal income tax return may be substituted
Statements may include P & L statements, balance sheet, or other normal statements. Please contact CEDO if assistance is needed
Please describe the steps that you are taking during this crisis to ensure the long-term viability of your business
Briefly describe why your business is important to the residents of Clinton. Responses may touch upon employment, unique services or products, facilities, public benefit or community involvement, and/or years of operation in Clinton.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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