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r <br />8. Has the Developer or the parent corporation, or any subsidiary or affiliated . <br />~ corporation, if any, of the Developer or said parent corporation, or any of the <br />Developer's officers or principal members, shareholders or investors, or other <br />interested parties (as listed in the response to Item 3 of the "Statement of <br />Qualifications" been adjudged bankrupt, either voluntary or involuntary, within the <br />past 10 years? <br />Yes No <br />If Yes, give date, place and under what name: <br />9. Has the Developer or anyone referred to in Number 7 above been indicted for or <br />convicted of any felony within the past 10 years? <br />Yes No <br />If Yes, give for each case (a) date; (b) charge; (c) place; (d) court; and (e) <br />action taken. Attach any explanation deemed necessary. <br />Certification <br />~- I(We) ~ , certify that this Confidential <br />"Statement of Financial Capability" and the attached evidence of the Developer's <br />financial responsibility, including financial statements, are true and correct to the best of <br />my (our) knowledge and belief and request that the information be treated confidentially. <br />Dated: Dated: <br />Signature Signature <br />Title Title <br />Address Address <br />* If the Developer is a corporation, this Statement should be signed by the <br />President and Secretary of the corporation; if an individual, by such individual; if a <br />partnership, by one of the partners; if an entity not having a president or <br />secretary, by one of its chief officers having knowledge of the financial status and <br />qualifications, and if a limited liability company by one or more of its managers or <br />managing members. <br />~ <br />Form C: Confidential Statement of Financial Capability Page 19 <br />