Form Nyf-1 - Franchise Registration Application/form Nyf-2 Page 3
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4STATE OF NEW YORK
NYF-2
DEPARTMENT OF LAW
1-81
BUREAU OF INVESTOR PROTECTION AND SECURITIES
STATE OF
)
:
SS.:
COUNTY OF
)
____________________________________, being duly sworn,
deposes and says:
1.
That (he) (she) has read this application and the
exhibits thereto and knows the contents thereof and that the same
are true to (his) (her) own knowledge.
2.
That all the information required by Article 33 of
the General Business Law of the State of New York and the
regulations issued thereunder, has been disclosed.
3.
That to (his) (her) knowledge, the application and
the exhibits thereto fully and fairly disclose the material
aspects of the offering and contain no material misrepresentations
or omissions.
4.
That the franchisor agrees to amend the exhibits or
any of them when any event requiring amendment occurs.
____________________________________
Signature of Franchisor
and/or Sub-Franchisor
(SEAL)
By___________________________________
Title_______________________________
Sworn to before me this
day of _______ 20______
_______________________________
NOTARY PUBLIC
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