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WordStar Document  |  1993-08-01  |  640b  |  22 lines

  1.  
  2. DECLARATION UNDER PENALTY OF PERJURY 
  3.  
  4. STATE OF ___________________)
  5.  
  6. COUNTY OF __________________)
  7.  
  8. _______________________, herewith declares under the penalties of
  9. perjury:  
  10.  
  11. That they are competent under the law to give this declaration and
  12. unless stated have personal knowledge of the facts stated herein: 
  13.  
  14.  
  15.  
  16.  
  17.  
  18.  
  19.  
  20. ____________________________________ 
  21.                            
  22.