I promis that any assistance received under this program will be used for the proposed harvesting equipment only.
I give permission to NHSP to collect and use my personal information related to this application to make inquiries needed to evaluate this application. Upon receiving assistance, I will agree to supply any relevant receipts, records or other relevant information requested by the NHSP.
My receipt of assistance will not make me an employee, contractor or agent of NHSP or the KIA.
I further believed this declaration to be true and know that it is the same as if made under oath.