Florida Affidavit Form

____________________________

partner signature

____________________________

partner printed name

State of FLORIDA

County of __________________

The foregoing instrument was acknowledged before me this _____ day of ___________20___ by ______________________________________,

partner (or agent) on behalf of _______________________________, a partnership. He/she q is personally known to me or q has

produced a __________________________________ as identification.

_______________________________

(SEAL)

notary signature

_______________________________

notary printed name

FL-2061-ACK

provides this form pursuant to Florida Statutes §695.25(3)

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