Statement Sole proprietors with no additional employees may complete this form and upload it with their Recover Manatee Safety First Small Business Grant Please save completed form for applicat ID: 847057
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_______________________________ _ ____________________________________________ _______________________________ Sole Proprietor Statement Sole proprietors with no additional employees may complete this form and upload it with their Recover Manatee Safety First Small Business Grant Please save completed form for application process. This form can be filled out and signed digitally or can be printed, filled out by hand, scanned and saved. IMPORTANT will not receive it. If you need assistance please contact u s at RecoverManatee@mymanatee.org or by phone at (941) 745 - 6271. I, hereby certify that I am a sole proprietor with no additional employees or subcontract workers. The business began operations on _______________. Signature of entered above Business Name (as shown in line 1 of W - 9 Request for Taxpayer I dentification Number ) Date