Affidavit (More Than $500)
This is a Missouri form that can be used for Administrative Rules within Secretary Of State.
Last updated: 1/8/2009
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