Oath Of Applicant Form (Verification Of The Information Of Initial Collection Agency And Nebraska Collection Agency Board)

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Oath of Applicant
STATE OF ____________________
)
) ss.
COUNTY OF __________________
)
I, ______________________________, do hereby swear or affirm as __________________________________
Print Name
Capacity of affiant, i.e. president, owner, general manager
of ________________________________________, That I have personally verified the information contained in the
Name of Collection Agency
attached Initial Collection Agency Application and Nebraska Collection Agency Board Personal/Corporate Financial
Statement and the information contained therein is true and correct to the best of my knowledge.
_________________________________
Signature
SUBSCRIBED AND SWORN to before me this _____ day of ____________, 20____.
________________________________
Notary Public

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