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Home Address: Home Address: <br />Home Address Home Address <br /> <br />Name: Stockholder Name Name: Stockholder Name <br /> <br />Home Address: Home Address: <br />Home Address Home Address <br /> <br />Subscribed and sworn before me this ___ day of _________________________________ <br />___________, 2 __. <br />(Affiant) <br /> <br /> <br />(Notary Public) ________________________________ <br /> (Print name & title of affiant) <br /> <br />My Commission expires: (Corporate Seal) <br /> <br /> <br />Page | 43 <br /> <br /> <br />