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By submitting a contribution through this form you certify that the following statements are true and accurate.

1. I am a United States citizen or a permanent resident alien.

2. I am making this contribution (and paying this credit charge) with my own personal funds, and I am not using funds provided by any another person or from any corporation or national bank to make this contribution.

3. I am not a federal contractor.

4. I am making this contribution on my own personal credit card and not with a corporate or business credit card or a credit card issued to anyone else.

5. I am at least 18 years of age.

Contributions to Democracy for Tennessee PAC are not deductible for federal income tax purposes. This communication is not authorized by any candidate or candidate's committee. Your contribution will be used in state and local elections and is subject to the limitations and prohibitions of the State Registry of Election Finance. Any contribution over $100 in a calendar year requires that we collect your name, address, and telephone number. Authorized and paid for by Democracy for Tennessee, Rose Naccarato, Treasurer.