UNDER PENALTIES OF PERJURY, I declare that, to the best of my knowledge and belief, the answers to the financial statements made in this application are a true, correct, and complete statement of my financial condition.
I hereby grant permission to the WINIFRED STUART MANKOWSKI FOUNDATION and its agents to contact the references and to verify such information as is deemed necessary to process this application. I further attest to the fact that all I have stated in this application is correct to my best knowledge and belief.