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I hereby confirm that known of the directors or shareholders of this corporation have been convicted of fraud or any offense involving dishonesty. Known has been disqualified for misappropriation of funds. Known have been adjudged bankrupt or subject to personal or voluntary creditor arrangements.

I expressly and unequivocally agree that the information contained herein is complete and accurate. This information has been furnished with the understanding that it will be used to determine the amount and conditions of the credit to be extended.