ATTACHMENT A APPLICATION FOR HOSPITALITY FUNDING
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1 ATTACHMENT A APPLICATION FOR HOSPITALITY FUNDING NAME OF THE FILM PROJECT: Name of production Name of legal representative Legal representative s tax code Name of producer Legal status Address VAT number / tax code address website Administration contact address Name of general organiser e-mial address In case of co-productions: Name of production Address address website Name of production Address address website 11
2 Direction Cast Synopsis Total budget of film project: above the line below the line Total budget of film project to be spent in Apulia: 12
3 Breakdown of Apulian expenses budget: Accommodation Rent of accommodation for cast & crew Refreshments Catering Foodstuffs Vehicle hire Local trians Local flights Local bus and coach services Fuel Total Other contributions and funding applied for (A) or obtained (O): (mark with an X if applied for or obtained; blank spaces will be considered as no application made) Funding and / or contribution A O EU Government Ministry Other Film Commissions Tax Credit Distribution (guaranteed minimum) TV rights Product Placement Days of preparation in Apulia and number of staff 13
4 Days of production in Apulia and number of staff List of locations, reasons for their choice and importance of specific features of the selected area 14
5 Distribution plan of film project Visibility of Apulian locations chosen and potential impact on out-of-season tourism and local economy: 15
6 Additional information relevant towards evaluation of application Place & date Signature and stamp of legal representative 16
7 ATTACHMENT B DECLARATION OF NOTARY DEED (art.47 DPR n.445) The undersigned born in on / /, resident in at (address) tax code, in his/her role as Legal Representative of with Head Office in at (address), aware of the legal sanctions resulting from false declarations or mendacious data as well as the ensuing withdrawal of funding provided should regional administration audits reveal inaccurate content in this declaration, as provided for under arts. 75 & 76 of Italian Presidential Decree n. 445/2000 DECLARES THAT - there are no current legal proceedings regarding social security and medical assistance organisations and/or executive action to be paid by the production company; - there are no unsettled invoices regarding suppliers or outstanding payments to cast and crew from film projects carried out in Apulia previously; - the legally represented production company (mark appropriate box) q is subject to VAT q is not subject to VAT; Furthermore, I declare that the production company: q is enroled in the Official Register of Companies; q is not enroled in the Official Register of Companies and therefore, for those cases required by law, attach a copy of the Certificate of Incorporation or Foundation Deed and copy of the statute. The undersigned, under Legislative Decree n.196 (30 June 2003), allows for the use of personal data and their transmission to third parties in fulfilment of legal obligations. Place & date Signature of Legal Representative N.B. PLEASE ATTACH A PHOTOCOPY OF I.D. DOCUMENT 17
8 ATTACHMENT C EXPENDITURE SUMMARY FORM 18
Regulations for Funding Allocation APULIA INTERNATIONAL FILM FUND. PUBLIC APPLICATION NOTICE 2012 Apulia Film Commission
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