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Applicant: [Name]

[window label]: [end date]

Status: [Status]
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Gross Revenue Disclosure

Declare the three previous years' gross revenues below.

(Language to be edited by auctions legal staff)

If Affiliate was in existence and had no gross revenues for a year of the relevant period, disclose Gross Revenues as $0 for that year. If an Affiliate was not in existence for a year of the relevant period, disclose gross revenues for the Affiliate's predecessor-in-interest, if any.

If Applicant is not disclosing gross revenues for the most recent three years for an Affiliate, and/or is disclosing gross revenues for fewer than three years, please explain why in an attachment.

 
Most Recent Reportable Year
  The Affiliate and any predecessor-in-interests were not in existence for a full year of the relevant period. [existence option]
 
Year End Date:   (Date Format: MM/DD/YYYY)
Gross Revenues: $
 
One Year Prior to Most Recent Reportable Year
  The Affiliate and any predecessor-in-interests were not in existence for a full year of the relevant period. [existence option]
 
Year End Date:   (Date Format: MM/DD/YYYY)
Gross Revenues: $
 
Two Years Prior to Most Recent Reportable Year
  The Affiliate and any predecessor-in-interests were not in existence for a full year of the relevant period. [existence option]
 
Year End Date:   (Date Format: MM/DD/YYYY)
Gross Revenues: $
 
Asset Disclosure
Total assets as of application filing deadline: $

 

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