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

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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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