PDF-File Number: MORTGAGOR'S AFFIDAVIT The undersigned ("Mortgagor"), be

Name printed Name printed STATE OF INDIANA SS COUNTY OF On . State how and when the passport was lost damaged and when FIR was lodged at which Police Station and how many passports were lost damaged ear lier 2 State whether you travelled on the lost damaged passport if so state flight number and date and port doc AFFIDAVIT by the Registered Shareholder Only for shares held in Physical form To be executed on a non judicial stamp of Rs10 To Grasim Industries Limited Share Department Birlagram Nagda MP 456 331 Dear Sir Re Loss of Share C ertificates held in brPage 1br COMMONLAW MARRIAGE AFFIDAVIT brPage 2br VITEEE-2014 AFFIDAVIT BY THE PARENT / GUARDIAN (This matter has to be typed on a non-judicial stamp paper of 20/-)1.Mr./Mrs./Ms. ...................................................................... VITEEE-2014 AFFIDAVIT BY THE PARENT / GUARDIAN (This matter has to be typed on a non-judicial stamp paper of 20/-)1.Mr./Mrs./Ms. ...................................................................... AFFIDAVIT (3) ________________________ in (4) County, Indiana. In this capacity, I have custody of and am responsible for the zoning records for the (5) __________________________. find that the si Affidavit in Support of a Claim forExemption from Sales or Use Tax for a Motor Vehicle Transferred as a Gift Rev. 4/99 Massachusetts Department of Revenue All entries must be printed or typed except f AFFIDAVIT OF INABILITY TO PAY COURT COSTS AND AD LITEM FEES STATE OF TEXAS H-FILE P-FILE H-FILE P-FILE H-FILE P-FILE TECHNICAL VARIABLES SOCIO-DEMOGRAPHIC VARIABLES irregular/casual/odd jobs for payODDJOB_CIdentifiersLiving arrangementsunofficial/non-registered/untaxed workN Technical College System of Georgia. Office of Adult Education. FY2014. O.C.G.A. § 50-36-1. State agencies providing a public benefit must require applicants ages 18 and over to:. Provide one secure and verifiable document. Technical College System of Georgia. Office of Adult Education. Effective date January 1, 2014. Updated June 1, 2015. Overview the VOEPB Process. Go over the VOEPB affidavit. Walk through each procedure. aware that false declaration is liable to punishment in compliance with the Italian Criminal Code and relative THA (tick the box of interest) Place In faith, I, the undersigned, (full name)(town/city CERTIFICATEOF SERVICEThe undersigned hereby certifies that on this day 14th day of May 2014 a copy of theforegoing was mailed viaordinary USmail postage prepaid to MichaelFoley at 1 W 4thStreet Suite SIGNATURE DATE PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVESuffixMiddle Name Title First Name Last NamePrefixCERTIFICATION REGARDING LOBBYING1 No Federal appropriated funds have been paid or w