STATE OF CALIFORNIA ­DEPARTMENT OF BUSINESS OVERSIGHT GUIDELINES FOR FRANCHISE REGISTRATION DBO ­ 310.111 (Rev. 11-15) Form C ­ Certification I certify under penalty of law that I have read and know the contents of this application and the documents attached as exhibits and incorporated by reference and that the statements in all these documents are true and correct. Executed at ________________________________, ________________, 20___ ____________________________________________ (Signature(s) of Franchisor and/or Subfranchisor) By _________________________________________ (Seal) Title _______________________________________ STATE OF ) ) ss. COUNTY OF ____________________________) Personally appeared before me this _______ day of ____________________ and, 20____ the above-named ______________________________ and ________________________________ to me known to be the person(s) who executed the foregoing application (as ____________________ and ___________________________ respectively, of the above-named applicant) and (each), being first duly sworn, stated upon oath that said application, and all exhibits submitted herewith, are true and correct. ______________________________ ______________________________ (Notary) American LegalNet, Inc. www.FormsWorkFlow.com