Laserfiche WebLink
**Awl We <br /> Dung Phan And Nhuan Le -3- <br /> If you believe that you qualify,you may request the Fund review your claim to determine eligibility for <br /> Priority Class "B". In order to determine eligibility, the following documents must be submitted and <br /> reviewed: <br /> • Complete the Enclosed form "Request for Assignment of Claim to Priority Class B". <br /> AND <br /> • Submit the three previous years of complete federal tax returns. Refer to the enclosed "Chart of <br /> Required Federal Tax Returns" to determine all federal tax forms that must be submitted. <br /> AND <br /> • Submit documentation supporting the number of employees for the claimant, claimants business and <br /> any affiliates (i.e. Department of Employment Development(DE6)payroll reports for the last four <br /> quarters). If you have no employees,provide a signed/dated declaration under penalty of perjury <br /> letter stating so. <br /> NOTE: Failure to respond to this request within thirty(30) calendar days from the date of this letter may <br /> result in an ineligibility determination of your claim. <br /> If you have any questions,please contact me at(916)341-5761. <br /> Sincerely, <br /> Barbara Rempel <br /> Claims Review Unit <br /> Underground Storage Tank Cleanup Fund <br /> cc: Mr. Brian Newman /Ms. Mar aret La orio <br /> Margaret g <br /> RWQCB, Reg. 5 - Sacramento San Joaquin County EHD <br /> 11020 Sun Center Drive 304 E Weber Ave, 3rd Floor <br /> Rancho Cordova, CA 95670 Stockton, CA 95202-2708 <br /> California Environmental Protection Agency <br /> va Recycled Paper <br />