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I certify that all information I provide is true, complete, and accurate, and I will not withhold or misrepresent any information. I understand all information on this 4K application is also monitored for accuracy by the SC Department of Social Services (SC DSS). I acknowledge that providing false, misleading, or incomplete information may result in denial or termination of services, repayment of funds, and any other penalties allowed by law. By signing, I confirm my understanding of these requirements and the consequences of fraud.

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