State Form 50469 - Enterprise Zone Business Registration (Ezb-R) - For Calendar Yaer 2011

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Please print legibly or type. Please complete each section entirely.
postmarked no later than June 1, 2012
postmarked no later than June 1, 2012
postmarked no later than July 15, 2012
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Indiana Economic Development Corporation, Indiana Enterprise Zone Program, One North Capitol, Suite 700, Indianapolis, IN 46204-2288.
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The sum of all lines in Part III must equal or exceed the amount in Part II, Line 17 to avoid disqualification from eligibility of enterprise zone incentives.

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