Free Oath of Applicant - Nebraska

File Size: 11.2 kB
Pages: 1
Date: January 17, 2003
File Format: PDF
State: Nebraska
Category: Secretary of State
Author: dkumke
Word Count: 83 Words, 773 Characters
Page Size: Letter (8 1/2" x 11")

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Oath of Applicant

STATE OF ____________________ COUNTY OF __________________
Print Name

) ) ss. )
Capacity of affiant, i.e. president, owner, general manager

I, ______________________________, do hereby swear or affirm as __________________________________ of ________________________________________, That I have personally verified the information contained in the
Name of Collection Agency

attached Initial Collection Agency Application and Nebraska Collection Agency Board Personal/Corporate Financial Statement and the information contained therein is true and correct to the best of my knowledge. _________________________________ Signature SUBSCRIBED AND SWORN to before me this _____ day of ____________, 20____. ________________________________ Notary Public