Business Background Affidavit Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Business Background Affidavit Form. This is a California form and can be use in Board Of Pharmacy Statewide.
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Tags: Business Background Affidavit, 17A-18, California Statewide, Board Of Pharmacy
American LegalNet, Inc. www.FormsWorkFlow.com Ihereby certify and affirm under penalty of perjury, under the laws of the State of California, that: (1) I am a person authorized to act for and bind the applicant and I am at least 18 years of age; (2) I have read the foregoing background certification and know the contents thereof and each and every statement made therein is true; (3) I understand that falsification of any information in this affidavit may constitute grounds for denial or subsequent revocation of the license; (4) no other person other than the applicant [or applicants222] has any direct or indirect interest in the applicant222s [or applicants222] business to be conducted under the license for which this affidavit is made; all supplemental statements filed with this affidavit are true, completeand accurate. American LegalNet, Inc. www.FormsWorkFlow.com