Form C-Ef - Application For Certificate Of Public Convenience And Necessity For Operation Of Motor Vehicle Carrier Page 2
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79.
Applicant is financially able to furnish the services as specified in this
Application, and submits the following statement of assets and liabilities.
ASSETS:
Cash
Real Estates and Buildings
Accounts and Notes Receivable
Power Equipment (Net of Depreciation)
Garage & Office Equipment
(Net of Depreciation)
Other Assets
TOTAL ASSETS
$
LIABILITIES:
Accounts and Notes Payable
Rents and Leases payable
Mortgages Payable
Debt on Power Equipment
Other Liabilities
TOTAL LIABILITIES
$
NET WORTH
$
10.
Applicant is familiar with the provision of S.C. Code Ann., §58-23-10, et seq.
(1976), and amendments thereto, and R.103-100 through R.103-241 of the Commission’s Rules
and Regulations for Motor Carriers (Vol.26, S.C. Code Ann., 1976), and R.38-400 through 38-
503 of the Department of Public Safety’s Rules and Regulations for Motor Carriers (Vol. 23A,
S.C. Code Ann., 1976) and amendments thereto, and hereby promises compliance therewith.
,
]
STATE OF SOUTH CAROLINA
]
COUNTY OF
]
I,
,
(Name of Applicant’s Representative)
(Title)
of
, the Applicant for the Certificate of Public
(Applicant)
Public Convenience and Necessity as set forth in the foregoing,swear or affirm that all
statements contained in the above Application are true and correct.
SWORN TO BEFORE ME
At
]
]
This the
day of
20
]
]
]
(Notary Public)
(Signature of Applicant’s Representative)
My Commission Expires:
.
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