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U1/17/19
AFFIDAVIT
I, �A_ 1 +_ -certify by my signature below that I hereby
authorize F `'j S p1 to act as my agent regarding the
Q Api. v L� of the below described property.
Property described
as: 1 l k
of Title Holder
Date
Subscribed and sworn to me a Notary Public on this _ � 1 Z q / zvzz day of
Notary Public
My Commission Expires:
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