Sample. Type of License License # Issuing Authority Juris. Type Status Renewals Exp. Date Notes Contractor License

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1 Business License Audit & Gap Analysis Report 06/11/2010 CSC compared our research results to the customer-provided listing of licenses to locate missing or duplicate filings. We verified the status of the existing licenses, identified potential gaps, and uncovered filings that may no longer be required or those inadvertently applied for in the past. Audit & Gap Analysis Report: ABC COMPANY, LLC,MATTHEWS,NC Research based on the business activity provided to CSC: CONSTRUCTION CONTRACTING Entity Name: ABC COMPANY, LLC Contact Name: KAREN TEST Contact Contact Phone: Location Street Address: 819 ABC AVE.ET Location City, State and Zip: MATTHEWS,NC,28105 Location County: MECKLENBURG List of Licensing Authorities Contacted: - North Carolina Licensing Board for General Contrators - Mecklenburg County Tax Collector - Mecklenburg County Register of Deeds - Finance Department - Department of Revenue General Notes Status of Existing Licenses Based on the list you provided to CSC, we have researched each of your existing licenses and provided detailed status information in the chart below. Type of License License # Issuing Authority Juris. Type Status Renewals Exp. Date Notes Contractor License North Carolina Licensing Board for General Contrators Privilege License Mecklenburg County Tax Collector State Current Annual 9/30/10 County Current Annual 7/ Additional Licensing Requirements CSC has identified additional licensing requirements that your business must satisfy to remain in compliance. Please see the chart below. Type of License License # Juris. Type Attachment Notes Certificate of Assumed Name County Certificate Of Assumed Name For Limited Liability Company Privilege License Municipal Town of Matthews Privilege License Application Sales Tax Registration State Form NC/BR - Registration Application For Withholding, Sales,Use, Machinery, Equipment, and Manufacturing Fuel Tax A town privilege license is required in addition to the county license. Sales Tax for construction work is required depending on how you charge for your services. CSC does not guaranty that this package contains information regarding all authorizations, licences or permits necessary to operate your business. We do not draw legal conclusions, provide legal advice or apply the law to the facts of your particular situation. No representations or warranties, expressed or implied, are given regarding the legal or other consequences resulting from the use of our services, reports or forms.

2 Business License Audit & Gap Analysis Report 06/11/2010 Licenses May Not Be Required CSC has identified licenses that are not required for your business. Eliminating these licenses can help your organization reduce its costs. Type of License License # Issuing Authority Juris. Type Status Renewals Exp. Date Notes CSC does not guaranty that this package contains information regarding all authorizations, licences or permits necessary to operate your business. We do not draw legal conclusions, provide legal advice or apply the law to the facts of your particular situation. No representations or warranties, expressed or implied, are given regarding the legal or other consequences resulting from the use of our services, reports or forms.

3 Business License Audit & Gap Analysis Package Certificate Of Assumed Name For Limited Liability Company If you have questions regarding this application, please contact the issuing authority using the information provided below. Issuing Office Mailing Address Mail the application to the mailing address provided below, unless otherwise noted on the form. General Notes Information pertaining to this form

4 CERTIFICATE OF ASSUMED NAME FOR A LIMITED LIABILITY COMPANY (LLC) The undersigned LLC, proposing to engage in business in County, North Carolina, under an assumed name other than its LLC name, hereby certifies that: 1. The name under which the business is to be conducted is: (Insert assumed name) 2. The name and address of the owner(s) of such business is (are): (Insert name and address of LLC) In witness whereof, this certificate is signed in the name of the LLC by its manager(s), this day of, 20. State of County of By: Manager By: Manager By: Manager SEAL SEAL SEAL I,, a Notary Public, do hereby certify that, manager(s) of, LLC, personally appeared before me this day of, 20, and that they signed the foregoing certificate on behalf of the LLC. Witness my hand and official seal, this the day of, 20. Notary Public My Commission Expires: (Affix Notary Seal) Rev.7/02

5 Business License Audit & Gap Analysis Package Town of Matthews Privilege License Application If you have questions regarding this application, please contact the issuing authority using the information provided below. Issuing Office Mailing Address Mail the application to the mailing address provided below, unless otherwise noted on the form. General Notes Information pertaining to this form

6 Privilege License Application New Application 232 Matthews Station Street Ownership Change Matthews, NC Name Change (704) (704) Address Change FOR OFFICE USE ONLY License # Approval Date: Approved By: Date of Application: / / DBA (Doing Business As) Name Corporate Name (Sole proprietorships should indicate the owners name) Business Physical Address (Include suite/apt #s, no PO Box #s) City State Zip Business Mailing Address City State Zip Address FEN or SSN # State License # (if applicable) Business Phone Number Secondary Phone Number Fax Number Provide a detailed description of your business activities: Date Business Began or Will Begin: / / Type: Corp. (LLC/S Corp) Sole Proprietor/Partnership Is your business Home Based? No Yes *Each business must have a principal location. A business is considered to be Home Based if the principal location of the business is a residence. If the answer to the question above is "yes", then you must obtain a Change of Use Permit from Mecklenburg County. You may contact LUESA at (704) for information on applying and obtaining the permit. Please submit a copy of the permit with your privilege license application. Does your business sell alcohol? No Yes Does your business have more than one location in Matthews? No Yes If yes, list locations below. Primary Contact Information Contact's Name Relationship to Business Mailing Address City State Zip Phone Number Cell Phone Number Fax Number Signature Date FOR OFFICE USE ONLY Charge Code Amount Paid: CHECK CASH CREDIT

7 Business License Audit & Gap Analysis Package Form NC/BR - Registration Application For Withholding, Sales,Use, Machinery, Equipment, and Manufacturing Fuel Tax If you have questions regarding this application, please contact the issuing authority using the information provided below. Issuing Office Mailing Address Mail the application to the mailing address provided below, unless otherwise noted on the form. General Notes Information pertaining to this form

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Dealer Application. If Corporation: If Limited Liability Company: If Limited Partnership:

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