HomeMy WebLinkAboutBusiness Authorization Statementclerk/authstate, Revised 03/15
AUTHORIZATION STATEMENT
(One statement per business; please list all individuals on one statement)
(Individuals listed below are able to add or take off vehicles for business.)
I, __________________________________, owner(s) of
____________________________________________ Taxi Business, authorize the
following individuals to sign in my/our absence, in compliance with Title 5, Chapter 2,
Section 2, of the City Code of Iowa City, Iowa.
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
(Statement must be signed by owners representing at least 51% of business)
Date______________ Owner(s)______________________________
______________________________
State of Iowa )
) SS:
Johnson County )
On this _____ day of ______________, 20____, before me, the undersigned, a Notary
Public in and for said County, in said State, personally appeared
___________________________________________________ to me known to be the
identical person(s) named in and who executed the within and foregoing instrument,
and acknowledged that they executed the same as their voluntary act and deed.
___________________________________
Notary Public in and for the State of Iowa