PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on The New York State Tax Shelter Program are requested to complete this reply form as soon as possible and mail it to:

Clinton Freeman, Jr.
Executive Assistant
Assembly Committee on Ways and Means
Room 923, LOB
Albany, New York 12248
Email: Freemac@assembly.state.ny.us
Phone: (518) 455-5491
Fax: (518) 455-5776


box I plan to attend the following public hearing on the New York State Tax Shelter Program to be conducted by the Assembly Committee on Ways And Means on Wednesday, January 11, 2006 at 10:00 a.m.

box I plan to make a public statement at the hearing. My statement will be limited to 15 minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.

box

I will address my remarks to the following subjects:



box I do not plan to attend the above hearing.

box I would like to be added to the Committee mailing list for notices and reports.

box I would like to be removed from the Committee mailing list.

box

I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




NAME:

TITLE:

ORGANIZATION:

ADDRESS:

E-MAIL:

TELEPHONE:

FAX TELEPHONE:
Back