Form 62a370a - Application For Certificate Of Registration To Purchase Certificates Of Delinquency Page 3

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Section C: All Applicants must complete.
THE UNDERSIGNED HEREBY CERTIFIES/AGREES TO THE FOLLOWING:
That the information as submitted in the application and supplements hereto is correct, complete and accurate.
That the Commissioner of the Department of Revenue may conduct any investigation in accordance with State law, into the
background of the applicant for purpose of issuing the subject registration.
To promptly submit any information which may be required for consideration of this application.
To promptly notify the Commissioner of the Department of Revenue of any change in the information contained in this application.
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