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For Zone Use Only ID # State of New York Empire Zones Program APPLICATION FOR JOINT CERTIFICATION OF AN EMPIRE ZONE BUSINESS ENTERPRISE Supplemental Form This form is to be used only if applicant cannot fit all requested information on the Application for Joint Certification of a Empire Zone Business Enterprise (EZ-1). Any information provided on this form should be identified by the section and question number on form (EZ-1) to which it refers. Name of Organization Section No. Question No. Section No. Question No. Section No. Question No. Section No. Question No. Section No. Question No. EZ-2 (10-03)