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5. A business shall apply to the authority for a grant on a form prescribed by the authority which shall include:

a. The name of the business, the proposed location of the project, and the type of activity which will be engaged in at the project site;

b. The names and addresses of the principals or management of the business, and the nature of the form of business organization under which it is operated;

c. The most recent financial statement of the business;

d. The number of eligible positions proposed to be created during the base years and thereafter; and

e. An estimate of the total withholdings.

L.1996,c.26,s.5; amended 2003, c.166, s.3.