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3 <br />Statement of Qualifications and Financial Responsibility <br /> <br /> <br />Applicant: <br />Address: <br /> <br /> <br /> <br /> 1. Is the Applicant a subsidiary of or affiliated with any other corporation or corporations or any other firm or firms? <br /> Yes <br /> No <br /> If yes, list each corporation or firm by name and address, specify its relationship to the Applicant, and identify the officers and directors or trustees common to the Applicant and such other corporation or firm: <br /> <br /> <br /> <br /> <br /> <br /> 2. The financial condition of the Applicant, as of , , is as reflected in the attached financial statement. <br /> <br />Name and address of auditor or public accountant who performed the audit on which said financial statement is based: <br /> <br /> <br /> <br /> <br /> <br /> <br />(NOTE: Attach to this statement a certified financial statement showing the assets and the liabilities, fully itemized in <br />accordance with accepted accounting standards and based on a proper audit. If the date of the certified financial <br />statement precedes the date of this submission by more than six months, also attach an interim balance sheet not more <br />than 60 days old.) <br /> 3. If funds for development of the land are to be obtained from sources other than the Applicant’s own funds, a statement of the Applicant’s plan for financing the acquisition and development of the land: <br /> <br /> <br /> <br /> <br />