IF HAND PRINTED, PRINT LIKE THIS ILLINOIS iiiiiiiii5iiiii
Bysignature above, I affirm this vessel/watercraftwill primarily be operated within the State of Illinois and I hereby declare under penalty of perjury that the informationprovided is true and correct andI am not more than 30 days delinquentin complyingwith a child support order. Making a false statement may subject you to contempt of court.
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