Minn. R. agency 120, ch. 2860, FORMS, pt. 2860.9920
CORPORATE VERIFICATION
| State of _____ | ) |
| ) SS. | |
| County of _____ | ) |
___________________________, being first duly sworn, says that ..he is the __________________________________________ of ________________________________________ above-named applicant, and executes this instrument for and in its behalf, by authority of its board of directors; that ..he has read the foregoing application, including all exhibits submitted therewith, and states that the contents thereof are true to the best of h.. knowledge and belief.
| _____ |
| Subscribed and sworn to before me this | |
| _____ day of _____, _____. | |
| _____ | |
| Notary Public, _____ County _____ | |
| My Commission expires: _____ |
INDIVIDUAL VERIFICATION
| State of _____ | ) |
| ) SS. | |
| County of _____ | ) |
_________________________________, being first duly sworn, says that ..he is ________________________________________________ applicant; that ..he has read the foregoing application, including all exhibits submitted therewith, and states that the contents thereof are true to the best of h.. knowledge and belief.
| _____ |
| Subscribed and sworn to before me this | |
| _____ day of _____, _____. | |
| _____ | |
| Notary Public, _____ County _____ | |
| My Commission expires: _____ |
Minn. R. agency 120, ch. 2860, FORMS, pt. 2860.9920
Statutory Authority: MS s 80C.18