"I certify through my signature that each of the statements given is true and correct to the best of my knowledge and belief. I make this

statement under the penalty of perjury and understand that any willful concealment or misstatement of material fact in this statement

subjects me to the penalties prescribed for perjury in the Penal Code of the State of California."

Persons who sign this are testifying that the statements they have given:

are absolutely true

are believed to be true

were willfully made

have a penalty for any false statements