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THE UNDERSIGNED HEREBY CERTIFY THAT THE INFORMATION SET FORTH <br />ABOVE IS TRUE AND CORRECT. THE UNDERSIGNED ACKNOWLEDGE THAT THE <br />LEASE FOR THE UNIT TO BE OCCUPIED BY THE UNDERSIGNED WILL BE <br />CANCELLED UPON 10 DAYS WRITTEN NOTICE IF ANY OF THE INFORMATION <br />ABOVE IS NOT TRUE AND CORRECT. <br />Head of Household <br />Spouse <br />F-11 <br />519394v81SB EL185A9 <br />