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AFFIDAVIT <br /> <br />STATE OF ) <br /> ) ss <br />COUNTY OF ) <br /> <br /> (name of affiant), <br />being tirst duly sworn hereby declares: <br /> <br /> 1. That (name of purchaser <br />or lessee) is a du~y organized and val'idly existing <br />(corporation· partnership, trust of other business e~tity). <br /> <br /> 2. That said (corporation, <br />partnership· trust or other business entity) is purchasing or leasing the real <br />property described in Exhibit "A" attached hereto and by this reference <br />incorporated herein, substantially for its own use, or has a binding commitment <br />to sell, lease or sublease such real estate to an entity which is engaged in <br />commercial or industrial business· <br /> <br /> 3. That said (corporation· <br />partnership, trust or other DUSlneSS entity) has oeen represented in the <br />negotiation of the sale or lease of said property by a representative of its own <br />choosing. <br /> <br /> Executed on this day of , 19 , at <br /> <br /> By <br /> <br /> Title <br /> <br /> Subscribed and sworn to before me on , 19 . <br /> <br /> Notary P UD 1 i c <br /> <br /> EXHIBIT 'C' <br /> <br /> <br />