Verified Affidavit

I, ______________________________________, being of sound mind, having reached the age of majority, and having first-hand knowledge of the matter, witnessing same, do solemnly attest the following statements are true. On this day, May 21, 2012, I personally witnessed the act of assembly and placement of the following named documents into an envelope and securely sealed: a. Original Notice ___ page(s) b. Copy, Minutes of assembly meeting with clerks affidavit ___ page(s) c. Copy, State Constitution ___ page(s) d. State Seal ___ page(s) e. Declaration of Independence ___ page(s) f. Articles of Confederation ___page(s) g. Witness affidavits ___page(s) Total number of pages ___
I then witnessed one of the sealed packages containing the above named documents presented to the Secretary of State for an apostile, and the apostile placed with said sealed documents into a UPS shipping envelope, securely sealed, and addressed to: Hague Conference on Private International Law Permanent Bureau Scheuening SFWEG 6 2517 tk The Hague, 2517TK NL

I then witnessed the shipping envelope being placed into the custody of United Parcel Service, and the receipt of tracking number _____(tracking number)________________. for delivery with signature confirmation required at the receiving location.
______________________________________ Signature of Affiant _______________

Date

State of Indiana

) )ss County of ______________ ) Before me, the undersigned notary public, this day personally appeared _______________________________________________, presenting acceptable identification, who being duly sworn according to law deposes the following: This affidavit is true, correct, and complete.
Subscribed and sworn to before me this__________day of_______________,2012 __________________________________ Notary Public Signature (seal) my commission expires ______________________