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