REPRESENTATIONS AS TO FORM OF ENTITY Sample Clauses

REPRESENTATIONS AS TO FORM OF ENTITY. INDICATE THE FORM OF ENTITY OF THE ------------------------------------ UNDERSIGNED: [ ] Individual [ ] Limited Partnership [ ] General Partnership [ ] Corporation [ ] Other Type of Trust (indicate type of trust and, for trusts other than pension trusts, name the grantors and beneficiaries in Attachment A to ------------ this Certificate). [ ] Other Form of Organization:
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