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Obligee Contact Information
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OWNER / APPLICATION INFORMATION
ADDITIONAL OWNER / APPLICANT INFORMATION:
HAS/DOES THE BUSINESS OR ANY OWNER
For all "Yes" answers, please provide a full explanation
The undersigned hereby affirms that all statements made are true and correct and are made to induce Surety to execute or procure the execution of any and all of the bonds described herein and any extensions, modifications, or the renewal thereof, addition thereto, or substitution therefore. Each of the undersigned further affirms that he/she understands the bonds applied for are a credit relationship and herby authorizes Surety, its agent, or agent’s agent to gather such credit information that it considers necessary and appropriate to evaluate whether such credit should be granted.