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North Central Texas Regional Certification Agency

624 Six Flags Drive, Suite 216

Arlington, Texas 76011

DOCUMENTS TO BE SUBMITTED WITH A COMPLETED APPLICATION

The following documents must be submitted with the attached application form. Failure to provide the required documents will result in your application package being returned with no action taken.  Please mark an "X" in the blank opposite each item submitted.  Place "N/A" in the blank opposite those items, which do not apply.

I. ALL FIRMS MUST PROVIDE THE FOLLOWING ITEMS:

mark “x” if submitted

information   requested

ACCEPTABLE PROOF

Proof of u.s. citizenship or permanent residency status

Birth Certificate, U.S. Passport, Alien Resident Card, etc

Proof of race / ethnicity

Birth Certificate, Tribal Card, MV License, etc

Income tax returns for the firm

Three most recent years

Resume of all owners and management staff

Work experience and Management experience

Assumed name certificate

Copy of bank signature card (s)

Business/Commercial Account

Proof of capital investment in firm

Cancel Check, Loans, etc

Proof of equipment and real estate contribution

Title papers, Lease agreements, Mortgage, etc.

Copy of rental or lease agreement for office space

Copy of licenses and/or permits

All Owners

Please explain on a separate sheet why you have not included any of the above requested information

II. FOR A PARTNERSHIP; ADD:

mark “x” if submitted

information   requested

Complete Copy Of Partnership Agreement Including Buyout Rights And Profit Sharing

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