2. I make this Affidavit for no improper purpose.
Date of Statement (ie. July 1, 2007)
before me, Full Name of Notary Taking
Sworn Statement, personally appeared Full
Name of Person Making Sworn Statement, personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument and acknowledged to me that executed
the same in authorized
capacity, and that by signature
on the instrument the person executed the instrument.
my hand and official seal.
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