CERTIFICATION OF BALANCE SHEET A. EXECUTE THIS SECTION IF SOLE PROPRIETOR THE ACCOMPANYING BALANCE SHEET HAS BEEN PREPARED UNDER MY DIRECTION AND CONTROL AND PRESENTS FAIRLY, TO THE BEST OF MY KNOWLEDGE, BELIEF AND ABILITY, MY FINANCIAL POSITION OF THE DATES INDICATED AND FOR THE PERIODS INDICATED. ___________________________________________ __________________________, 20______. SIGNATURE (DATE) SUBSCRIBED AND SWORN TO BEFORE ME, THE UNDERSIGNED AUTHORITY, THIS ________________________ DAY OF __________________________, 20______. (NOTARY SEAL) ___________________________________________ NOTARY PUBLIC IN AND FOR _____________________ ______________ THE COUNTY OF STATE ************************************************************************ ****** B. EXECUTE THIS SECTION IF CORPORATION OR PARTNERSHIP I AM THE PRINCIPAL FINAN CIAL OFFICER OF (NAME OF REGISTERED ENTITY) _________________________________________. THE ACCOMPANYING BAL ANCE SHEET HAS BEEN PREPARED UNDER MY DIRECTION AND CONTROL AND TO THE BEST OF MY KNOWLEDGE, BELIEF AND ABILITY, PRESENTS FAIRLY THE FINANCIAL POSITION OF THE ENTITY ON THE DATES INDICATED. ___________________________________________ _____________________________________ SIGNATURE TITLE _________________________, 20______. (DATE) SUBSCRIBED AND SWORN TO BEFORE ME, THE UNDERSIGNED AUTHORITY, THIS ________________________ DAY OF __________________________, 20______. (NOTARY SEAL) ___________________________________________ NOTARY PUBLIC IN AND FOR _____________________ ______________ THE COUNTY OF STATE American LegalNet, Inc. www.USCourtForms.com