| Securities Lawyer's Deskbook
published by The University of Cincinnati College of Law |
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State of ----------------------------------------
County of ---------------, ss: ------------------
The undersigned being duly sworn deposes and says that he has duly executed the attached ---------- dated -----, 19--, for and on behalf of ------------ (Name of company); that he is the -------- (Title of officer) of such company; and that all action by stockholders, directors, and other bodies necessary to authorize deponent to execute and file such instrument has been taken. Deponent further says that he is familiar with such instrument, and the contents thereof, and that the facts therein set forth are true to the best of his knowledge, information and belief.
(Signature)--------------------------------------
(Type or print name beneath)-----------------
Subscribed and sworn to before me a ---------- (Title of officer) this ----- day of -----, 19--.
[OFFICIAL SEAL]
My commission expires ---------------
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