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## CERTIFICATE- Qf**..;__;:__;SER~VI~C[**NOTICE· INMATE NOTARY PUBLIC SERVICE Under both Federal Law (28 U.S.C. § 1 746) and State Law (V.T.C.A. Civil Practice & Remedies Code, & 132.001-132.003), inmate incarcerated in Texas may use an unsvlorn declaration under penalty of perjury in place of a writ1.en declaration, verification, clarification, oath, or affidavit sworn before a Notary Public. An example of an unsworn declaration is as follows:

Unsworn Declaration I, Offender

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# ~ am presently incarcerated at the Mark W. Stiles 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 -·-4./<-0=-' _.d-it

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