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Does entity own any unincorporated business, in whole or in part, not listed on this application?

Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime. In NY they shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

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