Section C: All Applicants must complete.
THE UNDERSIGNED HEREBY CERTIFIES/AGREES TO THE FOLLOWING:
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That the information as submitted in the application and supplements hereto is correct, complete and accurate.
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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.
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To promptly submit any information which may be required for consideration of this application.
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To promptly notify the Commissioner of the Department of Revenue of any change in the information contained in this application.
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