AFFIDAVIT

I, __________________________________________________________ ,

being of full age, and being duly sworn according to law, upon my oath, state the following:

My current residence is as follows:

 

I declare that:

 

 

 

 

 

 

 

I do solemnly swear and certify that the foregoing statements are true to the best of my knowledge and belief. I am aware that willful false statements can subject me to punishment under the law.

 

Signature__________________________________   Date ________________

Address_________________________________________ Telephone______________

Subscribed and sworn to before me on this _____ day of __________ 20____.

 

______________________________________________________________________________
Notary

                       SEAL

 

Provided by the Animal Research Foundation                                                                               
 Without Prejudice, UCC 1-207
ARF / Common Law Copyright – 2002