RAP Tax Funding Application – Santa Clara City – Government Information & Services

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RAP Tax Funding Application

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Submit Fund Request by June 31st of each year that RAP tax revenues exist

Applicant/Entity Name

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address

Address Line 1

Address Line 2

City

State

Zip Code

Website

Contact Person

Contact Phone

Fax

Contact Email

Email

Confirm Email

RAP Funds Requested

RAP Funds Purpose

Proof of Applicant's Non-Profit Status

Private Non-Profit with 501(c)(3) letter
Private Non-Profit with 501(c)(3) letter from Financial Sponsor
Publicly Owned or Operated

Attachment: Other Sources of Funding

Click or drag a file to this area to upload.

How Long Applicant Has Been in Existence / Brief History

Proposed Qualifying Expenses to Be Paid with RAP Tax Funds

Detailed Cost Estimates for the Proposed Project

Accounting of RAP Funds Received Within the Past Three Years

Any Other Information Reasonably Related to RAP Tax Fund Use

Print Name of Applicant or Entity Contact

Title

Date

Signature of Applicant or Entity Contact

Clear Signature