AFFIDAVIT
The undersigned, being first duly sworn, deposes and says:
This affidavit was executed by me on _____________________________.
STATE OF _________________________________________
I certify that _______________________________________ ,who ❏ is personally known
to me to be the person whose name is subscribed to the foregoing instrument ❏ produced
______________________________________ as identification, personally appeared before me
on ______________________________, and ❏ acknowledged the execution of the foregoing
instrument ❏ acknowledged that (s)he is (Assistant) Secretary of _______________________
________________________________________________and that by authority duly given and
as the act of the corporation, the foregoing instrument was signed in its name by its (Vice)
President, sealed with its corporate seal and attested by him/her as its (Assistant) Secretary.
______________________________________
Notary Public, State of
My commission expires: