State of ______________ ) ) ss. County of _____________ ) BEFORE ME, the undersigned attorney, personally appeared ____________________________________, who, having been first duly sworn by me, deposes and says that: 1. He/she has personal knowledge of all matters set forth in this Affidavit. 2. FURTHER AFFIANT SAYETH NAUGHT. ________________________________ (SEAL) ________________________________ (SEAL) The foregoing instrument was acknowledged by me this ______ day of _____________, 19 ____ by:_______________________________ who is/are personally known by me or who has/have produced:_____ ____________________ as identification and who did take an oath. ________________________________ (SEAL) Notary Public State of My Commission Expires: