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it ii N Mcbillin Real Estate Investment -2- Claim 19788 March 14 , 2011 AND B . Complete federal tax returns for the claimant and for each affiliate for three calendar years prior to the date of claim application submittal . As proof of gross revenues for the purposes of assignment to Priority Class B , the enclosed chart identifies the federal tax returns , the statement, and schedules that are required to be submitted . AND C . Documentation supporting the number of employees for the claimant, the claimant's business , and any affiliates [i . e . , Employment Development Department (DE-6) payroll reports] for the four quarters prior to the date of h claim application submittal . Claimants must employ 100 or fewer full and part-time employees . Claimants who do not have any employees must submit a letter stating that they and their affiliates do not have any employees . This letter must be signed by the claimant under penalty of perjury and must have the claimant's original ink signature . You provided a signed declaration . If the employee status is still zero after completing the Priority B forms , then it is not necessary to redo this. The Fund will review these documents to determine eligibility for Priority Class B . A letter will be mailed to you upon final determination . 5 . A map drawn to scale that shows all underground storage tank locations , a north arrow and distances relative to the nearest public road . Include locations of all current and former USTs , fuel dispensers , products lines , vapor recovery lines , and other potential sources of contamination including , aboveground storage tanks (ASTs) , lifts/hoists , sumps , etc. 6 . All claimants , including any joint claimants , must sign and date the claim application . If you are filing as a married couple, both spouses must sign and date the claim application . If you are signing on behalf of a corporation , limited liability company , partnership , trust, or estate , identify your title as it relates to the claimant and submit documentation proving you have the authority to sign i on behalf of the claimant. 7 . Provide a copy of the Unauthorized Release Form (URF) signed and dated by the regulatory agency. 8 . You have indicated that you were unaware of the USTs at the time you acquired your site . Please submit evidence (photos , maps , reports , etc. ) that demonstrates the effort you made at the time of acquisition of this site to determine whether USTs were present. In addition , was there any aboveground indicators that would have led one to suspect that USTs existed at this site when you acquired it ( i . e . , fill pipe , vent pipe , concrete slab/patches , dispenser island , etc. ) ? California Environmental Protection Agency �d Recycled Paper