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i <br /> off TM TN I <br /> I certify under penalty of perjury that I am ( check one ) : <br /> Legal Property Owner (owner includes partner , trustee , trustor , or <br /> corporate officer . ) <br /> U owner 's legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that .the foregoing is true and correct . <br /> (Signature ) (Date ) <br /> t <br /> I <br /> I <br /> (9/65) <br /> 1'Iain-44� <br />