Incumbency Certificate : Please fill out the following form. Please print your completed form if you would to have a copy for your records.
I (NAME) Secretary of (Company's Name) do hereby affirm and verify that the duly constituted officers of the Corporation as of (year) are :
Vice President :
A True Record :
STATE OF :
COUNTY OF :
On _________________________ before me ________________________ personally appeared ___________________________ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Affiant : Known / Unknown
ID Produced :
Affidavits Forms Index
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