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<br /> SIGNATURE:
<br /> I certify under penalty of perjury that I am (check one) :
<br /> O Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s)
<br /> involved in this application, or
<br /> X Legal agent (attach proof of the owner's consent to the application of the property °s involved in this
<br /> application and have been authorized to file on their behalf
<br /> and that the foregoing application statements are true and correct.
<br /> Signature: Date: 3/4/20
<br /> Signature: Date:
<br /> Signature: Date:
<br /> Signature: Date:
<br /> Signature: Date:
<br /> F : Mountain House/MH Application Forms/MH-Plan Title Amnd Form-MASTER
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