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Submission Checklist <br />For office use only <br />EXHIBIT "A" <br />Please mark "yes" or "no" to each criteria below: <br />Yes No <br />00 Applicant filled out the proper application version for this <br />grant cycle. <br />(NO Applicant answered each question. <br />00 A budget is attached which includes revenues, expenses <br />and anticipated profit or loss (plus previous 3 years <br />actuals for ongoing projects/events). <br />00 The applicant has signed and dated the certification <br />statement required in item 10 of the application. <br />(OC? The application was submitted on time. <br />00 Proof of non-profit status is included (if applicable). <br />Please date stamp the application and initial. <br />�JR <br />County -wide Lodging Tax Application For Office Use Only P a g e 117 <br />