Peoria Urban Enterprise Zone Section 7
For Contractors and Subcontractors
Project Name
*
Provided by primary project contact
Project Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contractor or Subcontractor Name
*
Number of Construction Jobs Required for Subcontractor's Portion of Project
*
Contact Person
*
First Name
Last Name
Contact Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
FEIN
*
Total Contract Amount on Project
*
Contract amount that consists of building materials qualified for exemption
*
Percentage of total contract amount that consists of building materials qualified for exemption
Project description
*
Describe the portion of the project for which you are responsible and qualifies for exemption.
Applicant's Expected Completion Date
*
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: