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Certify & Submit

Former Default, Delinquency Statement
By indicating which statment applies and by submitting the application, applicants make the applicable statement under penalty and perjury. An applicant making the second statement must submit an upfront payment equal to [upfront_default_factor] percent more than otherwise would be required.
	[default stmt1] The applicant, its affiliates, its controlling interests, and the affiliates of its controlling interests (as those parties are defined by the Commission's rules) have never been in default on any Commission license and have never been delinquent on any non-tax debt owed to any Federal agency.
	[default stmt2] One or more of the applicant, its affiliates, its controlling interests, or the affiliates of its controlling interests (as those parties are defined by the Commission's rules) have been in default on a Commission license or have been delinquent on a non-tax debt owed to a Federal agency.