Form 3180 - Notice To Terminate A Met Full Benefits Plan Contract - 1997 Page 2
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1
2AFFIDAVIT
Use this affidavit only when not attending a Higher Education Institution as defined in the Contract.
I, __________________________________________, being first duly sworn, deposes and says:
1.
I am at least 18 years of age or have a high school diploma.
(Attach copy of high school diploma if not 18.)
2.
I am the Beneficiary of Michigan Education Trust (MET) contract
number _______________________________.
3.
This affidavit is submitted to MET in conjunction, and in order to
comply, with the requirements of my "Notice To Terminate a MET Full
Benefits Plan Contract" form dated _________________________.
4.
I do not plan to attend a Higher Education Institution as defined in the
MET contract.
__________________
_______________________________________________________
Date
Signature of Beneficiary (student)
Subscribed and sworn to before me
this _________ day of ______________ 19 ____,
______________________________________
Notary Public
________________________________ County
My Commission Expires:
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Parent category: Financial