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VERIFICATIONANDCERTIFICATIONOFNONFORUM

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I,_______________________,oflegalage,afterhavingbeendulysworninaccordancewithlaw,depose
andstatethat:

Iamaplaintiffintheabovestatedcase;

Icausedthepreparationoftheforegoingcomplaint;

Ihavereadthecontentsthereofandthefactsstatedthereinaretrueandcorrectofmypersonalknowledge
and/oronthebasisofcopiesofdocumentsandrecordsinmypossession;

IhavenotcommencedanyotheractionorproceedinginvolvingthesameissuesintheSupremeCourt,
theCourtofAppeals,oranyothertribunaloragency;

Tothebestofmyknowledgeandbelief,nosuchactionorproceedingispendingintheSupremeCourt,
theCourtofAppeals,oranyothertribunaloragency;

IfIshouldthereafterlearnthatasimilaractionorproceedinghasbeenfiledorispendingbeforethe
SupremeCourt,theCourtofAppeals,oranyothertribunaloragency,Iundertaketoreportthatfact
withinfive(5)daystherefromtothisHonorableCourt.

___________________________
Affiant