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…THAT All STATEMENTS CONTAINED IN THIS APPLICATION, AND ANY ACCOMPANYING DOCUMENTS. ARE TRUE AND COREECT, WITH FULL KNOWLEDGE THAT ALL STATEMENTS MADE IN DC APPUCATION ARE SUBJECT TO INVESTIGATION AND THAT ANY FALSE OR DISHONEST ANSWER TO ANY QUESTION MAY SE GROUNDS rot DEMAL OR SUBSEQUENT REVOCATION Of REGISTRATION. SIGNATURE OF RESIDENT AGENT DAYTIME CONTACT NUMBER MAILING ADDRESS PHYSICAL ADDRESS EMAIL ADDRESS NOTARY ACKNOWLEDGEMENT Subscribed and sworn to before me this day of at Notary Public My Commission Expires EFTA00313310