Affidavit Of County Municipal Or Other Public Official Establishing Facsimile Signature

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. 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 of County, West Virginia , . That he or she is (Title) , a political subdivision of I, Commission of sion of said County. , 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 Commis- President of the County Commission of Date County, West Virginia American LegalNet, Inc. www.USCourtForms.com