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AFFIDAVIT ,
o1/17no19
I, certify by my signature below that I hereby
authorize to act as my agent regarding the
�1nz of the below described property.
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Property described as : � a-W'. t.
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of Title Holder Date
Subscribed and sworn to me, a notary Public on this h day of
-madit I aoa
dA. K .
Notary Public
My Commission Expires:
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