Affidavit (More Than $500)
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Affidavit (More Than $500) Form. This is a Missouri form and can be use in Administrative Rules Secretary Of State.
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Tags: Affidavit (More 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 attached fiscal note for the Proposed Rule to insert rule number is a
reasonably accurate estimate.
(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.
_______________________________
Notary Public
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