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<br />T OMB No. 2040-0004
<br />Approval expires OS-31-98
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
<br />AM FAMILIAR WffH THE INFORMATION SUBMITTED HERE NALLY E%AMINED AND
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<br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON :
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<br />SIBLE FOR OBTAINING ~~ ~ ~ ~l
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<br />THE INFORMATION, I BELIEVE THE SUBMITTED INF
<br />ORMATION IS TRUE, /
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<br />~wironmentDl 1'~:TBnCr ACCURATE AND COMPLETE. I AM AWARE THAT TH
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<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 41001 AND 33 U.S.C.
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<br />TYPED OR PRINTED S 1319. (
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