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AFFIDAVIT COMPLIANCE WITH FOREIGN ENTITY LAWS <br />qu <br />The undersigned, on behalf of the entity listed below ("Entity"), hereby attests under penalty of <br />perjury as follows: <br />1. Entity is not owned by the government of a foreign country of concern as defined in <br />Section 287.138, Florida Statutes. (Source: § 287.138(2)(a), Florida Statutes) <br />2 The government of a foreign country of concern does not have a controlling interest in <br />Entity. (Source: § 287.138(2)(b), Florida Statutes) <br />3. Entity is not organized under the laws of, and does not have a principal place of business <br />in, a foreign country of concern. (Source: § 287.138(2)(c), Florida Statutes) <br />4. Entity is not owned or controlled by the government of a foreign country of concern, as <br />defined in Section 692.201, Florida Statutes. (Source § 288.007(2), Florida Statutes) <br />5. Entity is not a partnership, association, corporation, organization, or other combination <br />of persons organized under the laws of or having its principal place of business in a foreign <br />country of concern, as defined in Section 692.201, Florida Statutes, or a subsidiary of such entity. <br />(Source: § 288.007(2), Florida Statutes) <br />6. Entity is not a foreign principal, as defined in Section 692.201, Florida Statutes. (Source: <br />§ 692.202(5)(a)(1), Florida Statutes) <br />7. Entity is in compliance with all applicable requirements of Sections 692.202, 692.203, and <br />692.204, Florida Statutes. <br />8. (Only applicable if purchasing real property) Entity is not a foreign principal prohibited <br />from purchasing the subject real property. Entity is either (a) not a person or entity described in <br />Section 692.204(1)(a), Florida Statutes, or (b) authorized under Section 692.204(2), Florida <br />Statutes, to purchase the subject property. Entity is in compliance with the requirements of <br />Section 692.204, Florida Statutes. (Source: §§ 692.203(6)(a), £92.204(6)(a), Florida Statutes) <br />9. The undersigned is authorized to execute this affidavit on eh fEntity. <br />Date: 20 V� Signed` <br />Entity: <Jm 1! Moo" Occt�f ire L4' <br />STATE OF FLORIDA <br />COUNTY OF 22a <br />Name:a <br />Title: Lyvx -t j✓tv����nF�' <br />Sworn to and subscribed before me by means of L_�ysical presence or [_j online notarization, this <br />}� day of 20� by��P <br />(NOTARY SEAL) <br />Notary Public State of Florida <br />A DarianalizMercado <br />My Commission <br />CAN <br />HH 276993 <br />EX0. 6116/2026 <br />Signature of Notary Public -State of Florida <br />'i4aCC� <br />(Name of Notary Typed, Printed, or Stamped) <br />Personally Known OIL Produced identification <br />Type of Identification Produced L_�\. CC-'rlc�, <br />