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                                                                             ------------------   -----·   ---··-----   ------------   --·-.   ------------   ------------       --··--·-···   ---------·--
                                                                                                                                    ATC-060 (Rev. 7)
                                                                                                                                       Attachment 2

                                                                     NOTICE
                                                          OFFENDER NOTARY PUBLIC SERVICE

                    Under both Federal law (28 U.S.C § 1746) and State law (V.T.C.A. Civil Practice & Remedies
                    Code, § 132.00 1-132.003), offenders incarcerated in Texas may use an unsworn declaration under
                   penalty of petjury in place of a written declaration, verification, certification, oath, or affidavit
                  ·sworn before a Notary Public.

                   In a requeSt for Notary Public service, each offender must explain why an Unsworn Declaration is
                   insufficient before Notary Public service will be provided. . · .      .

                  **************************************************************************~····
                                  ·An example ofan unsworn declaration pursuant to State law is as follows:


                                                                   0            M() il£nR.\ I                 my date of birth is   f{ ... 23 ~ 7d.,
                                                                 (Middle}                 {Last)          7
                                                                         ~                       . .

                 and my inmate identifying number, is ·                         ~~~ ~ %~ ·\                      . I _am presently incarcerated in

                 ___,.:s;'"'-"-'£-41--t-b-"'--t.A..=.:...t....,..,..f\..e...=....:IJ.,___ _ in         /a Je~.JgfY£<']i -· 75f f) 3
                   1                       (Corrections~ name)                                                      ·     (City)
                  ,A hcl.e t' <!., o V'!              U       "U,L S                   J 5. S 0 3                       I declare under penalty of
                   (County)                                (State)                   (Zip Code)

                perjury that the foregoing is true and correct.

                Executed on the         -.23.-day .~\er. zo.J£;; ~~.J£!-.~~-4-;=-~,..w,....=...~...<¥
                                                           of

                ***************************************************************************
                              An example of an unsworn declaration pursuant to Federal law is as/allows:




               ******************************************************************************

                                                                NOTICE
                                                      NOTARY PUBLIC SERVICE DENIAL

               Regarding. your· request for Notary Public service, insufficient justification was provided
___ __ ___ _   necessitating Not:aiy Public service. However, you may proceed with an Unsworn Declaration.


                      (Signature- Notary)                                                                                  (Date)
