American Indian Tribe Information Page 3

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Form must be signed by the Tribal Chief.
___________________________
________________________
____________
Signature
Print Name
Date
PLEASE NOTE: The estimated burden for completing this form is 1 Hour per response. You are not required
to respond to any collection of information unless it displays a currently valid OMB approval number.
Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W.,
Washington D.C. 20416.
SBA Form 1010 – AIT (3/11)

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