Form 133.12 - Renewal Application For Mutual Funds And Other Continuous Offerings Page 2

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Form
133.12
AFFIDAVIT
STATE OF
COUNTY OF
(“Affiant”) being duly sworn, deposes and says that
he or she is
(title) of the above-named registrant,
having full authority in said capacity to agree to the following undertakings as evidenced by his
or her signature below in consideration of a renewed registration. The registrant agrees:
(1)
to file one copy of each new, revised, or amended prospectus as soon as it is
available, with such copy marked to show changes;
(2)
to continue to file single copies of all advertising literature as required by the Texas
Securities Act, Section 22;
(3)
to continue to file sales reports of securities sold and to maintain an adequate
authorization based upon the rate of sales in Texas;
(4)
to terminate security sales immediately if a licensed Texas dealer is no longer
authorized to make sales; and
(5)
to notify the State Securities Board immediately of any material adverse change in the
registrant’s plan of business or financial condition.
Affiant further deposes and says that unless the State Securities Board has been notified
otherwise, no legal or administrative proceedings of a material nature have been instituted in which
the Issuer, its advisor, or any affiliate thereof was a party since publication of the Issuer’s most
recent prospectus.
(Signature of Affiant)
(Capacity)
Subscribed and sworn to before me the
day of
, 20 ______
Notary Public in and for the County of
State of
(NOTARY SEAL)
My commission expires:
02-24-2004

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