Read the ACORD 140 Fraud Notices
The top of the final page in the ACORD 140 for is a bunch of text about the criminal status of knowingly and with intent providing false information in these documents. It is a crime and a felony in many states.
The purpose of placing this on the form is either to advise you which states it is not a crime in so you can go to that state to complete the forms - I doubt that - or to impress upon you and your insured the importance of being honest, accurate and disclosing information fully.
Not only can this lead to criminal conviction of you, but it can also lead to denial of insurance coverage and payment of claims.
I hope this helps you learn how to complete the ACORD 140.
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