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O1/17/19
AFFIDAVIT
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1, certify by my signature below that I hereby
authorize a r 0 f lM� to act as my agent regarding the
of the below described property.
a -
Property described
as:
Signature of Title Holder
Subscribed and sworn to me a Notary Public on this
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MyrC�ommission Expires:
Date
1 I ri 1 day of
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