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文档来源于网络,如有重复请自行下载法律文书:会计师证明函Lawyer Attestation letter I am: A Certified Public Accountant (CPA), or An Attorney Name: _ Firm Name: _ Firm Address: _ Telephone Number: _ Professional License and/or Association Number(s): _ This letter of attestation is being provided on behalf of the following business entity: Groups Name: _ Groups Address: _ Groups Telephone Number: _ Group Officers Name (from whom you received the written documentation reviewed in connection with this letter of attestation): _ This group is a new business, which started on _ and will be filing tax documents, which will be sent to you at a future date. I certify that this group has a New York situs, and is a: Sole Proprietorship, and the proprietor works a minimum of 20 hours per week. Partnership Corporation Limited Liability Company (LLC) S-Corp Other Type of Business Entity (explain) _ (Please attach copies of supporting documentation) The following employees of this firm began working for this company on the following dates, and are working full-time (20 hours or more per week), and will be shown on future tax documents which will be provided to you. Name Start Date Name Start Date _ _ _ _ _ _ _ _ I hereby certify that the information I have stated above are true statements based on documentation provided to me. I hereby make this certification to induce X Company to offer health insurance coverage to this group based upon the information contained in my certification. I understand that X Company will retain this letter and any attached materials without regard to the acceptance or non-acceptance of the groups application for coverage. Signature:_ Date: _3
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