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I declare my answers to the questions on this application are true, and give BGD Companies, Inc. and its affiliates and their representatives the right to investigate all information given and to secure addition information, if necessary.

I hereby acknowledge that BGD Companies, Inc. may provide all such information to its affiliates and to other third parties. I hereby authorize and consent to such sharing of information with BGD Companies, Inc. affiliates and to other third parties. I hereby release form liability and/or responsibility BGD Companies, Inc., and affiliates and any other parties who may be the recipients of such information.

I further understand that any misleading or incorrect statements or the incomplete filling of the application may render this application void and if employed, may be cause for immediate dismissal.