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Have you ever failed to satisfy any court ordered money judgment including restitution No Misrepresentation or Failure to Disclose Requested Information on this Application Is Cause for Denial or Revocation of Confirmation* Certification I certify under penalty of perjury under the laws of the State of California to the truth and accuracy of all statements answers and representations made in the foregoing application including all supplementary statements. Signature of Applicant Date Privacy No ...

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