Fill in name of individual completing form and contact information if other than artist. A. The Town issued a Call to Artists on ______, in conjunction with Miami-.Signature: Date: Please complete this form and submit to: Office of the City Clerk. Note: If not submitting a response, please fill out and return the "Statement of No-Response" Form. MIAMI-DADE COUNTY SINGLE EXECUTION AFFIDAVIT AND DECLARATION FORM. Rev. Venue for any proceedings arising out of this. Agreement shall be proper exclusively in Miami-Dade County, Florida. 15. Agreement and Signature. By submitting this application, I affirm that the facts set forth in it are true and complete. The 1961 Hague Convention established the apostille as a form of authentication for its member states.