for Georgia's Vehicle Emissions Inspection & Maintenance (I/M) Program.
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As the Georgia Environmental Protection Division (EPD) owner of this vehicle, I certify and represent, under the penalty of law, the information provided herein, and all accompanying documentation supplied with this application, is true, correct and authentic. I understand and acknowledge that submitting false information or fraudulent statements or writings in a matter under the jurisdiction of a state agency is a crime and can result in fines, imprisonment or both (O.C.G.A 16-10-20).
Further, by entering my name in the field below, I certify that I am the person that is the subject of this application, and I fully authorize the Georgia Environmental Protection Division (EPD) and Applus Technologies, Inc. to accept it as the equivalent signature for any and all purposes, including civil and criminal enforcement actions.
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