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I authorize the Diversion Coordinator to conduct an investigation to determine suitability for this program. I understand that any information furnished or authorized by me, to be given to the Diversion Coordinator in connection with this investigation, will be kept confidential.
I understand that a false answer to any question in this application, or withholding information requested, may be grounds for recommendation against placement into this program or removal after placement in the program, in which case, the Butler County Attorney will resume prosecution of the original charges. I also understand that the Butler County Attorney may file additional criminal charges against me if I give any false information in this application.
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