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• <br /> REHABILITATION CONTRACTOR REGISTRATION APPLICATION. <br /> ALL QUESTIONS MUST BE ANSWERED AND THE DATA GIVEN MUST BE CLEAR AND COMPREHENSIVE. <br /> THIS STATEMENT MUST BE NOTARIZED. IF NECESSARY, QUESTIONS MAY BE ANSWERED ON <br /> SEPARATE ATTACHED SHEETS. THE CONTRACTOR MAY SUBMIT ANY ADDITIONAL INFORMATION <br /> HE/SHE DESIRES. <br /> 1. NAME OF BUSINESS: Kit Smith Home Improvement Company <br /> 2, ADDRESS OF BUSINESS: 223 Omega Road <br /> Durham, North Carolina 27704 <br /> 3. TELEPHONE NUMBER OF BUSINESS: (919 ) 688-5255 or 471-1794 <br /> 4. CONTACT PERSON(S): Kid Smith <br /> 5. OCCUPATIONAL LICENSES # Home Imirovement and Rehabilitation <br /> 6. WHEN ORGANIZED? A.ril 1970 <br /> 7. IF A CORPORATION, WHERE INCORPORATED AND WHEN? Presently being incorp- <br /> orated. <br /> 8. HOW MANY YEARS HAVE YOU BEEN ENGAGED IN THE CONTRACTING BUSINESS UNDER YOUR <br /> PRESENT FIRM OR TRADE NAME? . 12 years <br /> 9. GIVE THE NAME AND ADDRESS OF ANY OTHER CONTRACTING FIRM UNDER WHICH THE OWNER <br /> OR PARTNERS HAVE OPERATED. INCLUDE DATES. <br /> NAME • DATE <br /> • <br /> 10. CONTRACTS ON HAND: (SCHEDULE THESE, SHOWING AMOUNT(S) OF EACH CONTRACT AND THE <br /> APPROPRIATE DATES OF COMPLETION.) <br /> CONTRACT APPROXIMATE DATE OF COMPLETION <br /> Manumit Corp. $5,500 January <br /> 11. GENERAL CHARACTER OF WORE PERFORMED BY YOUR COMPANY (I.E. , GENERAL CONTRACTING <br /> SPECIALITY IN ANY PARTICULAR TRADE) <br /> Painting_, Carpentry, Plumbing, Electrical Work, Roofing, Tile, <br /> Plastering, Wallpaper, Brick and Concrete Block Work, Steps , <br /> Sheetrock installation and finishing, and any other work relating <br /> to home improvement and/or rehabilitation. <br />