Affidavit (Less Than $500)
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Affidavit (Less Than $500) Form. This is a Missouri form and can be use in Administrative Rules Secretary Of State.
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Tags: Affidavit (Less Than $500), Missouri Secretary Of State, Administrative Rules
AFFIDAVIT
PUBLIC COST
STATE OF MISSOURI )
) ss.
COUNTY OF _________)
I, name of person with authority, name of department, board or commission, first
being duly sworn, on my oath, state that it is my opinion that the cost of proposed
rule, insert rule number, is less than five hundred dollars in the aggregate to this
agency, any other agency of state government or any political subdivision thereof.
____________________________________
Signature of person with authority
Name of proper authority
Title of proper authority
Name of department, board or commission
Subscribed and sworn to before me this ________day of month, year. I am
commissioned as a notary public within the County of name of county, State of
Missouri, and my commission expires on date.
____________________________________
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