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Affidavit (More Than $500) - Missouri

Affidavit (More Than $500) Form. This is a Missouri form and can be used in Administrative Rules Secretary Of State .
 Fillable pdf Last Modified 1/8/2009
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AFFIDAVIT PUBLIC COST STATE OF MISSOURI ) ) ss. COUNTY OF ________ ) I, name of person with authority, name of department, board or commission, first being duly sworn, on my oath, state that it is my opinion that the attached fiscal note for the Proposed Rule to insert rule number is a reasonably accurate estimate. (signature of person with authority) Name of proper authority Title of proper authority Name of department, board or commission Subscribed and sworn to before me this _________day of month, year. I am commissioned as a notary public within the County of name of county, State of Missouri, and my commission expires on date. _______________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com
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