Versions of Form
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Sworn before me this .......... day of .........., A.D. .........., at ...... .(Signature of Informant) -
Sworn before me this .......... day of .........., A.D. .........., at ...... .(Signature of Informant)
Full text
Sworn before me this .......... day of .........., A.D. .........., at ...... .(Signature of Informant)