ࡱ> ` &bjbj ׺D@@@@<@ BBBBBBBB____M7` ߀ $h?HBB?H?HBBJJJ?HBB_J?H_JJVhWBB p:o@HVW֡0WҧIvҧ WҧW BCJD\EBBB1JXBBB?H?H?H?H$9@@ FORM EZ-M R. 09/08 FLORIDA ENTERPRISE ZONE PROGRAM BUILDING MATERIALS SALES TAX REFUND APPLICATION FOR ELIGIBILITY (Based on s. 212.08 (5) (g), F.S.) Date of Application: Taxpayer Name: Mailing Address: Property Address: Assessment Roll Parcel Number: Florida Enterprise Zone Number: EZ- Description of Improvements: Building Permit Number: Attach a copy of actual building permit with inspection dates. Building Inspector Name: Phone: FAX: Attach a certificate from building inspector that improvements are substantially completed. Date of certificate stating that improvements are substantially completed: Date when rehabilitated property is first subject to assessment: FORM EZ-M R. 09/08 IMPROVEMENTS Attach a copy of each invoice listing sales tax paid for all eligible building materials. If applicable, attach a sworn statement from the licensed contractor(s) stating all materials submitted were used on the project and that the sales tax has been paid. A separate sheet may be used if necessary to account for all building materials. Building Materials Sales Price State Sales Tax Paid (6%) ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ Total Sales Price of Building Materials: $ Total State Sales Tax: $ x 97% Amount of Sales Tax Eligible for Refund $ (subject to limitation in Section III) If invoices are not available, please complete the following: Assessed value after rehabilitation: (1) Assessment Date: Assessed value before rehabilitation:(2) Assessment Date: Attach documentation of assessed values: before and after rehabilitation. Calculation of Sales Tax Refund: Difference between line (1) and line (2)= __________________ x 40%= _______________x 6% = _________________ x 97%= ________________ Amount of Sales Tax Refund. Amount of sales tax refund is subject to maximum amount of sales tax refund Please see Calculation of Percentage of Employees on next page. Is the business a small business as defined by s. 288.703(1), F.S.? ____ yes _____ no Please note: This question is for statistical purposes and does not impact the sales tax refund request. REQUESTING A SALES TAX REFUND IN EXCESS OF $5,000.00 This section is to be completed if the business is applying for a sales tax refund exceeding $5,000.00. If applying for a sales tax refund in excess of $5,000.00, please complete Schedules A and B that are attached. The attachments must include the signature of the taxpayer as well as the Enterprise Zone Coordinator who certified the Enterprise Zone location of the applicant. Schedule A: Total Number of Permanent, Full-Time Employees (Enterprise Zone Residents) Schedule B: Permanent, Full-Time Employees (Non-Enterprise Zone Residents) Calculation of Percentage of Employees: 1. Total number of employees from Schedule A: _________________ 2. Total number of employees from Schedules A and B: _________________ Percentage of permanent, full-time employees residing in enterprise zones (divide Line 1 by Line 2, enter result): _________________ MAXIMUM AMOUNT OF SALES TAX REFUND If Line 3 is less than 20%, the maximum amount of tax refund is $5,000. If Line 3 is 20% or greater, the maximum amount of tax refund is $10,000. TAXPAYER SIGNATURE I hereby certify that I have examined statements contained on this form, and to the best of my knowledge and belief they are true, correct and complete. ________________________________________________ Signature of Taxpayer Date ________________________________________________ Signature of Enterprise Zone Coordinator Date ________________________________________________ Phone Number of EZDA Fax Number of EZDA Original forms must reach the Florida Department of Revenue within: 6 months of the date of certificate that the improvements are substantially completed or by September 1st after the rehabilitated property is first subject to assessment for improvements to real property completed on or after July 1, 2005. Taxpayer is required to send: a completed Form EZ-M (with required attachments) along with a completed Form DR-26S: Application for Tax Refund to: Florida Department of Revenue Refunds Sub-Process Post Office Box 6490 Tallahassee, Florida 32314-6490 850/488-8937 EZDA retains one copy of this form for EZDA files Schedule A Permanent, Full-Time Employees that reside within an Enterprise Zone Attachment to Enterprise Zone Form EZ-M (r. 09/08) For a business to qualify for a sales tax refund exceeding $5,000.00, at least 20 percent of its permanent, full-time employees must: live in a designated enterprise zone; and work at the business location where the building materials were used and for which the refund is being applied. Enter the information requested for each permanent, full-time employee that is an EZ Resident: Employee Name, Street Address, City and Zip Code* Employees Social Security NumberDate EmployedEnterprise Zone Number In Which The Employee Resides*Social security numbers are used by the Department of Revenue as unique identifiers for the administration of Floridas tax laws. They are confidential under sections 119.0721 and 213.053, Florida Statutes, and are not subject to disclosure as public records. _______________________________ _________________ SIGNATURE OF TAXPAYER DATE _______________________________ _________________ SIGNATURE OF ENTERPRISE ZONE COORDINATOR DATE (Make additional copies if needed) Schedule B Permanent, Full-Time Employees that do NOT reside within an Enterprise Zone Attachment to Enterprise Zone Form EZ-M (r. 09/08) For a business to qualify for a sales tax refund exceeding $5,000.00, at least 20 percent of its permanent, full-time employees must: live in a designated enterprise zone; and work at the business location where the building materials were used and for which the refund is being applied. Enter the information requested for each permanent, full-time employee that does NOT reside within an Enterprise Zone. Employee Name, Street Address, City and Zip Code* Employees Social Security NumberDate Employed *Social security numbers are used by the Department of Revenue as unique identifiers for the administration of Floridas tax laws. They are confidential under sections 119.0721 and 213.053, Florida Statutes, and are not subject to disclosure as public records. _______________________________ _________________ SIGNATURE OF TAXPAYER DATE _______________________________ _________________ SIGNATURE OF ENTERPRISE ZONE COORDINATOR DATE (Make additional copies if needed)      FILENAME \p C:\Documents and Settings\Hemanes\Local Settings\Temporary Internet Files\OLK5D\BMREFUNDrevised-09-2008.DOC  3456Z[y  ' / ; \ f  K L M f q { : @  ࿸̡̮ h6CJ h65CJh6OJQJaJ h65CJ h6CJ h6>*CJ h65CJ h65CJ h6CJ h6CJ h65CJ, h6CJ, h6\ h65CJ? 45Z[y  ( , < = g h p`p$a$ $a$%& L M r s @ A  $a$ d5$9D    A B r s 67gh$ a$  & F   U V m q 15JKbh{|&)BE #69cfy|} #}>?h65:CJh6h6OJQJaJ h6CJ h65CJ h6>*CJ h6CJ h6CJMFT:;}~12 !"# $d5$9Da$$a$dh`dh#}?@hi+{|4p^p & F`$a$ d5$9D?@ghi{|45H=puv  @ABJڼڳڼڳڼڳԬڥڥo!h65B*CJ$OJQJ\ph h66CJh66CJOJQJaJh6OJQJaJ h65CJ h65CJ h65CJh65:CJ h6>*CJh6 h6CJ h65CJ h6CJ h6CJ h6;CJ h6;CJh65;CJh65:CJ&45H<=v  QAB`$ & Fa$$^a$$a$ & F ^8^8`=J(%$If $$Ifa$,$If^,` $^`a$$a$ d5$9D$a$(%&' ŵŪxtot^tVK`ZZZZ$Ifkd^$$Ifl\`'H   $   t0'44 la>?@ABC`ZZZZ$Ifkd$$Ifl\`'H $ t0'44 laCDEFGH`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 laHIJKLM`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 laMNOPQR`ZZZZ$Ifkd$$Ifl\`'H $ t0'44 laRSTUVW`ZZZZ$Ifkd $$Ifl\`'H   $   t0'44 laWXYZ[\`ZZZZ$Ifkd* $$Ifl\`'H   $   t0'44 la\]^_`a`ZZZZ$IfkdL $$Ifl\`'H $ t0'44 laabcdef`ZZZZ$Ifkdn $$Ifl\`'H   $   t0'44 lafghijk`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 laklmnop`ZZZZ$Ifkd$$Ifl\`'H $ t0'44 lapqrstu`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 lauvwxyz`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 laz{|}~`ZZZZ$Ifkd$$Ifl\`'H $ t0'44 la`ZZZZ$Ifkd:$$Ifl\`'H   $   t0'44 la`ZZZZ$Ifkd\$$Ifl\`'H   $   t0'44 la`ZZZZ$Ifkd~$$Ifl\`'H $ t0'44 la`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 la`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 la`ZZZZ$Ifkd$$Ifl\`'H $ t0'44 la`ZZZZ$Ifkd$$Ifl\`'H   $   t0'44 la`ZZZZ$Ifkd($$Ifl\`'H   $   t0'44 la`ZZZZ$IfkdJ$$Ifl\`'H $ t0'44 la  E x y `^\\\\\\WW$a$kdl$$Ifl\`'H   $   t0'44 la    E F R S ] ^ b c r s x y &!!!!!!!J"ŴxiYiNh65OJQJaJh65B*OJQJaJphh60J5CJOJQJ^Jh6B*OJQJaJphh60JCJOJQJ^J h65>*B*OJQJ\phh65B*OJQJ\ph!h65B*CJ$OJQJ\ph h65 h65CJh6B*phh6B*CJaJphh65B*CJ\aJphh65B*\ph &!!!J""""##)#$If $$Ifa$,$If^,` $^`a$$a$ J"""""##)#*#+###$$$$$$$$$$/%0%<%=%G%H%L%M%\%]%b%c%%%sssgsssssg` h66CJh6B*CJaJphh65B*CJ\aJphh65B*\phh6B*ph!h60J5CJOJQJ^JaJh60J5CJaJ h65h6 h65\h65CJ\aJh65B*OJQJaJph'h60J5>*CJOJQJ\^JaJh60JCJOJQJ^JaJ#)#*#+#,#-#sjdd$If $$Ifa$kd$$IflFL $H      p   t0D%    44 la-#.#/#0#1#smmm$Ifkdp $$IflFL $H    p  t0D%    44 la1#2#3#4#5#smmm$Ifkd|!$$IflFL $H  p t0D%    44 la5#6#7#8#9#smmm$Ifkd"$$IflFL $H    p  t0D%    44 la9#:#;#<#=#smmm$Ifkd#$$IflFL $H    p  t0D%    44 la=#>#?#@#A#smmm$Ifkd$$$IflFL $H  p t0D%    44 laA#B#C#D#E#smmm$Ifkd%$$IflFL $H    p  t0D%    44 laE#F#G#H#I#smmm$Ifkd&$$IflFL $H    p  t0D%    44 laI#J#K#L#M#smmm$Ifkd'$$IflFL $H  p t0D%    44 laM#N#O#P#Q#smmm$Ifkd($$IflFL $H    p  t0D%    44 laQ#R#S#T#U#smmm$Ifkd)$$IflFL $H    p  t0D%    44 laU#V#W#X#Y#smmm$Ifkd*$$IflFL $H  p t0D%    44 laY#Z#[#\#]#smmm$Ifkd+$$IflFL $H    p  t0D%    44 la]#^#_#`#a#smmm$Ifkd-$$IflFL $H    p  t0D%    44 laa#b#c#d#e#smmm$Ifkd .$$IflFL $H  p t0D%    44 lae#f#g#h#i#smmm$Ifkd/$$IflFL $H    p  t0D%    44 lai#j#k#l#m#smmm$Ifkd$0$$IflFL $H    p  t0D%    44 lam#n#o#p#q#smmm$Ifkd01$$IflFL $H  p t0D%    44 laq#r#s#t#u#smmm$Ifkd<2$$IflFL $H    p  t0D%    44 lau#v#w#x#y#smmm$IfkdH3$$IflFL $H    p  t0D%    44 lay#z#{#|#}#smmm$IfkdT4$$IflFL $H  p t0D%    44 la}#~####smmm$Ifkd`5$$IflFL $H    p  t0D%    44 la#####smmm$Ifkdl6$$IflFL $H    p  t0D%    44 la#####smmm$Ifkdx7$$IflFL $H  p t0D%    44 la#####smmm$Ifkd8$$IflFL $H    p  t0D%    44 la#####smmm$Ifkd9$$IflFL $H    p  t0D%    44 la#####smmm$Ifkd:$$IflFL $H  p t0D%    44 la###$$$$$/%b%c%%%sqqooooooojo$a$kd;$$IflFL $H    p  t0D%    44 la %%%%%%%%%%%% & &&&& h66CJhf@r6CJ]mHnHuh66CJ]jh66CJU]h6jh6U%%%%%%%%&&&&$a$$a$ 6 00PBP/ =!"#h$h%v= 30PBP/ =!"#h$h%v= 30PBP/ =!"#h$h%v= 30PBP/ =!"##$% $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /   /  /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / /   /  / a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  / / / / / /  a $$If!vh5H55$5#vH#v#v$#v:V l t0'5H55$5/  /  / / / /   /  a$$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /   /  /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / /   /  / a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  / / / / / /  a $$If!vh5H5 5p#vH#v #vp:V l t0D%5H5 5p/  /  / / / /   /  aH@H Normal5$7$8$9DH$_HmH sH tH B@B Heading 1$$@&a$5CJJ@J Heading 2$$ @&a$5CJ D@D Heading 3$$@&a$ 5CJ\DAD Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List <&< Footnote Reference4@4 Header  !4 @4 Footer  !DOD Pa8dx5$9DCJOJQJaJ@O@ Pa5d5$9DCJOJQJaJ@O@ Pa9d5$9DCJOJQJaJFOF Pa11dx5$9DCJOJQJaJ.Oa. A6CJ^JaJph.Oq. A7CJ ^JaJ ph! 8m 45Z[y (,<=gh  LMrs@AABrs67ghFT:;}~1 2 ! " # }   ? @ h i +{|45H<=v  QAB`=J(%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ Exy&J)*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~/bc0h00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0  0  0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0  0 000000(0000000000000 0 000 0 00000000y0f000000000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000000000000 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000000y00y00y00y00y00y00y00y00@0y00y00  ? J"%&<>[ #4%*/49>CHMRW\afkpuz )#-#1#5#9#=#A#E#I#M#Q#U#Y#]#a#e#i#m#q#u#y#}#######%& !"#$%&'()*+,-./0123456789:;=?@ABCDEFGHIJKLMNOPQRSTUVWXYZ\&   UD T  \j!    A $NM L tK   k  hh**0*2kkUU     oo/55(1<<##rr  \\  Z *urn:schemas-microsoft-com:office:smarttags PlaceTypehttp://www.5iantlavalamp.com/n *urn:schemas-microsoft-com:office:smarttags PostalCode0http://www.5iamas-microsoft-com:office:smarttagsi*urn:schemas-microsoft-com:office:smarttagsState0http://www.5iamas-microsoft-com:office:smarttagsh *urn:schemas-microsoft-com:office:smarttagsCity0http://www.5iamas-microsoft-com:office:smarttagsV*urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/Z*urn:schemas-microsoft-com:office:smarttags PlaceNamehttp://www.5iantlavalamp.com/ dkP    yNOQ`  A E +-33333333333333 [:T`:"YSzzepRb@[Raunh   ^ `OJQJo(h   ^ `OJQJo(oh YY^Y`OJQJo(h ))^)`OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ii^i`OJQJo(oh 9!9!^9!`OJQJo(h pp^p`OJQJo(h @ @ ^@ `OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh ^`OJQJo(h PP^P`OJQJo(h   ^ `OJQJo(oh ^`OJQJo(p0p^p`0o(.  ^ `. L ^ `L.xx^x`.HH^H`.L^`L.^`.^`.L^`L.h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo([Rauep[:`:YSă        ă        P'[        ă        ă        f@r6%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~)*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~@\\PLANNER\HP Officejet J6400 seriesNe10:winspoolHP Officejet J6400 series\\PLANNER\HP Officejet J6400 sC odXXLetterDINU"41\IUPHdLetter o [none] [none]Arial4Pd?HEMANES<Automatic>44%%dMicrosoft Office WordNoneB B I C E D WINWORD.EXEC:\Program Files\Microsoft Office\OFFICE11\WINWORD.EXEHemanesSHERILYNIPACDRWDSGATCAPI;F4E8Q;Ki݅&E%9xPPBHAERP\\PLANNER\HP Officejet J6400 sC odXXLetterDINU"41\IUPHdLetter o [none] [none]Arial4Pd?HEMANES<Automatic>44%%dMicrosoft Office WordNoneB B I C E D WINWORD.EXEC:\Program Files\Microsoft Office\OFFICE11\WINWORD.EXEHemanesSHERILYNIPACDRWDSGATCAPI;F4E8Q;Ki݅&E%9xPPBHAERPL`@UnknownGz Times New Roman5Symbol3& z Arials Helvetica 55 RomanHelvetica 55 Roman?5 z Courier New;Wingdings  h*ɦ*ɦ*ɦh5h5! xx4dww 2Q HX?f@r2 FORM EZ-M Information Systems HEIDI HEMANES      Oh+'0$LXt       FORM EZ-M Information SystemsNormalHEIDI HEMANES2Microsoft Office Word@@ i@>n@>nh՜.+,0 hp  $Executive Office of the Governor5w  FORM EZ-M Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]_`abcdefghijklmnopqrstuvwxyz{|~Root Entry F`uDoData ^<1Table}WordDocument׺SummaryInformation(DocumentSummaryInformation8CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q