55A - RESO - BRISTOL ST RELOCATION PHASE 3A

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Business Relocation Interview'. ClientlProject: City of Santa Ana - Bristol St. Project Phase IIIA Case ID: Site Address: Interview Date: ❑ Unoccu ied City, St, ZIP: Santa Ana, CA Interviewer: ❑ No Contact Business Claimant information Legal business name (from tax return): Person interviewed (name /title): Ownership type: ❑ Sole Proprietor ❑ Partnership ❑ Corporation ❑ Non -profit Business type: URA type (list 1). OPC type (list 2): Name under which claimant conducts operations (doe): Mailing address (if different), Goods, products or services provided: Dale business established: IThis site move -in: Business Contacts Information Contact 1 (PRIMARY) Contact 2 Contact 3 Name: Title /position: Business phone: Cell phone: Fax #: Email: Authority (Y /N): ❑ Can the person (s) with authority to sin claims and agreements read /understand English? If not Ian ua e: Business Professionals Involved Attprr i Accountant, Broker, Move Planner, Coritrartor _ Professional 1 Professional 2 Professional Name: Title/posiflon: Specialty (list 3): Company: Address: Business phone: Cell phone: Fax #: Email: CC address (YIN): Busin s Bescri pi and Features Business hours and days of operation: Customer trade area: Is this a franchise business? If yes, is copy of franchise agreement available? Describe any other businesses on site: List any sub - leases: List the same or similar operations owned elsewhere List residents living on the property: Intend to relocate this business (Y /N): If yes, plans for new market, product or service ?: Describe best time to move: Months of year with least inventory: With most inventory: Estimated time it would take to move business, Describe business conducted on the Internet: Describe types of advertising used: List printed materials to become obsolete: Annual gross income: Full -time employees. Annual net income: Part -time employees: r' 1980 -2012 Overland. Pacific & Cutler, Inc- (08/12) Page 1 55A -43