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Ail: info nsea.us (Scan and email in pdf format only! Please do NOT scan as a picture ) A Verified Declaration of Truth State: County: ) ) ss. ) Sheriff s Name: Address for Sheriff s Office: Attachments regarding the information outlined in this Declaration shall be construed as fully incorporated into this Declaration. A Special Power of Attorney is given NSEA International to extend to all of its authorized representatives to act as my competent counsel in regard to these matter.

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