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- I am in good health and have not suffered from/or been treated for nor have any indication of any heart disease, lung disease, stroke, high blood pressure, cancer growth/tumor, diabetes, cirrhosis, kidney disease, HIV/AIDS or HIV/AIDS related complications. I have not been hospitalized and/or had a diagnostic test with an abnormal result within the past one (1) year and/or ever been advised to have any of these in the future.
- I do not have or ever had an application or insurance policy that has been declined, postponed, rated up, accepted on special items or has been rescinded due to material misrepresentation and/or concealment.