Texas Ethics Commission Affidavit
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Texas Ethics Commission Affidavit Form. This is a Texas form and can be use in Ethics Commission Statewide.
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Tags: Texas Ethics Commission Affidavit, Texas Statewide, Ethics Commission
Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711-2070
TEXAS ETHICS COMMISSION
AFFIDAVIT
Complete this affidavit if you are raising a defense to late filing.
Filer Name
Account #
(512) 463-5800
(TDD 1-800-735-2989)
OFFICE USE ONLY
Date Received
HD / PM
Date Processed
Date Imaged
I swear, or affirm, under penalty of perjury that the following statement is in all things true and correct.
Signature of Filer
NOTARY STAMP / SEAL
Sworn to and subscribed before me by ______________________________________________
this the _____________ day of
_______________________________, 20___________, to certify which, witness my hand and seal of office.
Signature of officer administering oath
www.ethics.state.tx.us
Printed name of officer administering oath
Title of officer administering oath
Revised 01/05/2000
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