Common use of Fraud Warning Clause in Contracts

Fraud Warning. Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and subject to penalties under state law. Proposed insured signature X Proposed insured name (please print) Date City State Owner signature if other than proposed insured (give title if signed on behalf of a business or trust) X Owner name (please print) Date City State Co-owner signature X Co-owner name (please print) Date City State