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                                                NOTICE

                               INMATE NOTARY PUBLIC SERVICE


    Under both Federal Law (28 U.S.C. §1746) and State Law (V.T.C.A. Civil Practice &Remedies
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    penalty of perjury in place of awritten declaration, verification, clarification, oath, or affidavit
    sworn before aNotary Public. An example of an unsworn declaration is as follows:




                                        Unsworn Declaration

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  I, Offender jffl>6ftd cJn^ph bfrOX'•                          ,TDCJ Number /%{fl(n%3
  am presently'
           ., '•incarcerated
                         i_J at the7Mark W.
                             -* +T,/iwr«,.ir W Stiles
                                               Still Unit of the Texas Department of Criminal

  Justice in Jefferson County, Texas declare under penalty of perjury that the above is true and
  correct,




 Signed on the iZJT day of fehrtUkOy ,20 J5_

 Printed Name




Unsworn Declaration
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