Affidavit of Ownership or Control - Free Download
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AFFIDAVIT OF
OWNERSHIP OR CONTROL
00455-1
10-26-2007
Orig. Dept.: File/I.D. No.:
INSTRUCTION: Entities using an assumed name should disclose such fact to avoid rejection of the
affidavit. The following format is recommended: Corporate/Legal Name d.b.a. Assumed Name.
Document 00455
AFFIDAVIT OF OWNERSHIP OR CONTROL
BEFORE ME, the undersigned authority, on this day personally appeared
(Full Name, hereafter “Affiant”),
(state title/capacity with Contracting Entity) of
(Contracting Entity’s Corporate/Legal Name)
(”Contracting Entity”), who being by me duly sworn on oath stated as follows:
1. Affiant is authorized to give this affidavit and has personal knowledge of the facts and
matters herein stated.
2. Contracting Entity seeks to do business with the City in connection with
(describe project or matter) which is expected to be in an amount that exceeds $50,000.
3. The following information is submitted in connection with the proposal, submission or bid
of Contracting Entity in connection with the above described project or matter.
4. Contracting Entity is organized as a business entity as noted below (check box as
applicable):
FOR PROFIT ENTITY: NON-PROFIT ENTITY:
[ ] SOLE PROPRIETORSHIP [ ] NON-PROFIT CORPORATION
[ ] CORPORATION [ ] UNINCORPORATED ASSOCIATION
[ ] PARTNERSHIP
[ ] LIMITED PARTNERSHIP
[ ] JOINT VENTURE
[ ] LIMITED LIABILITY COMPANY
[ ] OTHER (Specify type in space below)
