I (we) represent that I (we) have never been subject to legal action for
cruelty to, or neglect of, animals. I (we) represent that I (we) have never
animal that has been confiscated by any animal control or humane organization
for violations of animal control regulations or animal adoption agreements.
I (we) swear that the information contained above is true and correct to the
best of my knowledge.
Signature of applicant: