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AFFIDAVIT
I, ---47 9 ,i�C _ certify by my signature below that I hereby
authorize S _ to act as my agent regarding the
of the below described property.
Property described as:
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114k, LO ck , FZ,
Signature of Ti older
/Z-4-ZS
Date
Subscribed and sworn tome a Notary Public on this day of
f em.)21 �' a 9d
otary Public
My Commission Expires:
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01/17/23