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CUSTOMER INFORMATION VERIFICATION <br />(Required Document) <br />In our efforts to continue providing timely customer service, we need your assistance confirming the following information. If and information is <br />incorrect or missing, please note the necessary changes below and return this form with vour signed documents. in addition. please review the Data <br />Privacy Notice stated below. Thank you in advance for your cooperation. <br />Purchase Order # for new contract: <br />Current Information on file Please make corrections here <br />Customer Name: <br />City of San Marcos <br />Physical Address: <br />630 E HOPKINS <br />SAN MARCOS, TX 78666 <br />Mailing Address: <br />630 E HOPKINS <br />SAN MARCOS, TX 78666 <br />Equipment Location: <br />630 E HOPKINS ST <br />SAN MARCOS, TX 78666, HAYS <br />Business Phone: <br />(512)393 -8000 <br />( 512) 3 93 — 8170 <br />Fed. ID # or SS #: <br />746002238 <br />L -mail Address: <br />COSMAP @SANMARCOST \.GOV <br />Accounts Payable Contact <br />Name and Phone: <br />Ismael Garcia, (512)393 - 8178 <br />Tax Information <br />Sales Tax Rate: <br />0 <br />( Please note: Sales Tax Rate, includes all applicable State. County, and City sales tax) <br />City Limits <br />Asset outside the City Limits? Yes_ No X <br />Tax Exemption Status: <br />Exempt <br />If you are tali exempt — please enclose a current tax <br />❑ Non - Exempt <br />exemption certificate to be returned with your documents — <br />Not needed by CFSC if dealer ISC <br />Other Information: <br />*Should the above changes apply to ALL of your contracts. OR for this contract ONLY? <br />❑ ALL CONTRACTS <br />❑ THIS CONTRACT ONLY <br />THE ABOVE INFORMATION HAS BEEN REVIEWED AND IS ACCURATE TO THE BEST OF MY <br />KNOWLEDGE WITH EXCEPTION OF ANY CORRECTIONS AS NOTED. C (1 <br />Customer Initials <br />This notice pertains to personal dam supplied in caniection wnh your credit application By proridit ;g tour injorinanor to Caterpillm <br />Data Privacy otice: <br />y htL: or atin +u(its subsidiaries or affiliates, including Catet ptl /ur Financial Servic es C o7paratrwr icolleclrnelr "Caterpillar "l, you are <br />agreeing rhat the information inav be shared among Caterpillar a its partners and dealers, mid used to process roar applicattois far <br />credit and other orders caul to improve or nrmket Carerpillar products and services. 0 roa have our quesnons pertaining to tins nonce, <br />please contact the Data Privary Coordinator at 615- 3- 41- 8322. <br />32140371z � <br />