AFFIDAVIT

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AFFIDAVIT

STATE OF _____________

COUNTY OF ____________

______________, being duly sworn, or having duly affirmed to tell the truth, stated personally before me:

That they are competent under the law to give this affidavit and unless stated have personal knowledge of the facts stated herein:

Sworn or affirmed before me on _____________________.

____________________________________

___________________________________

Notary Public

Commission Expires