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AFFIDAVIT
1, S `: (I If ) I to certify by my signature below that I hereby
,lot Ot W Il: (D� l+AL, to act as my agent regarding the
S pp+ ;v,N► P . D. of the below described property.
Property described as:
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Signature of Title Hold
Subscribed and sworn to me a Notary Public on this
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Date
Nota Public
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PUBLIC :
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