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Principal	Address	Authorization	Remove	name	address	city	state	zip	phone	phoneExt	email	naicCode	isNewPrincipal	authorizationForm	principalId

Relationships with Citizens

Do you have any direct or indirect business association, partnership, or financial relationship with any board member or employee of Citizens?

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Oath

By entering my initials, I do solemnly swear that all the foregoing facts are true and correct. I understand that my submission is subject to verification and audit by Citizens Property Insurance Corporation.

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