*VERIFICATION
)
) ss.
)
being first duly sworn, on oath deposes and says that
he/she is the
of
,
that he/she has examined the attached balance sheet and knows the contents thereof, and that the facts set forth
therein are true to the best of his/her knowledge and belief.
Subscribed and sworn to before me
this
day of
, 20
.
Notary Public, State of Hawaii
My commission expires:
-2-