Affidavit Of County Municipal Or Other Public Official Establishing Facsimile Signature
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Affidavit Of County Municipal Or Other Public Official Establishing Facsimile Signature Form. This is a West Virginia form and can be use in For Government Secretary Of State.
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AFFIDA
COUNTY, MUNICIPAL,
OTHER
AFFIDAVIT OF COUNTY, MUNICIPAL, OR OTHER PUBLIC OFFICIAL
ESTABLISHING FA
SIGNA
ESTABLISHING FACSIMILE SIGNATURE
STATE OF WEST VIRGINIA
COUNTY OF
, To-wit:
, after being first duly sworn by the
undersigned Clerk of the County Commission, on oath, deposes, says and certifies:
1.
That he or she is
(Title)
of
, a political subdivision of
the State of West Virginia.
2.
That in order to establish a facsimile signature to be used in lieu of his or her manual
signature, as authorized by Chapter 6, Article 14, of the Code of West Virginia of 1931, as amended, he
or she hereunto affixes his or her manual signature to this affidavit form and authorizes the same to
be certified to and filed with the Secretary of State of West Virginia.
3.
That his or her term of office ends as of
.
Signature
I,
Clerk of the County Commission of
County, West Virginia, do hereby certify that the affiant named above, who is
well known to me, personally appeared before me this day and made oath as noted above, and affixed
his or her manual signature to the above affidavit; that the affiant does, in fact, as of this day occupy
the official office, with specified term as aforesaid.
Witness my hand and seal of office this
day of
,
(SEAL)
Clerk of the County Commission
County, West Virginia
of
I,
Commission of
, do certify that I am the President of the County
County, and that
whose name appears above, is of this date the duly qualified and acting Clerk of the County Commission of said County.
President of the County Commission
of
County, West Virginia
Date
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