P.H. #_____________ Owner's Sworn-to-Consent Permitting Tenant to File for a Hearing (Corporation) On behalf of _________________________________________________, a _________________ (state) corporation, ____________________________________ being first duly sworn, deposes and says that as the President/Vice-President, or CEO (circle one) of the aforesaid Corporation, which is the Owner of the property legally described below and which is the subject property of the proposed hearing, does hereby grant consent to ____________________________________, as Tenant to file this application for a public hearing. Legal Description: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________ Witnesses: _______________________________ Signature __________________________________ Print Name ___________________________________ Signature ___________________________________ Print Name ___________________________________ Name of Corporation Address: _______________________________ _______________________________ _______________________________ By President, Vice-President or CE0*(circle one) [*Note: All others require attachment of original corporate resolution of authorization] STATE OF ____________________ COUNTY OF __________________ The foregoing instrument was acknowledged before me by ____________________________________, of ________________________ corporation, on behalf of the corporation. He/She is personally known to me or has produced _____________________________, as identification. Witness my signature and official seal this ____ _____________________________, _____, in the County and State aforesaid. day of _____________________________________ Notary Public-State _____________________________________ My Commission Expires: _____________________________________ Print Name American LegalNet, Inc. www.FormsWorkflow.com [f:forms/Owner's Sworn-to-Consent for Corporation.doc (2/28/06)]