AFFIDAVIT

I, _______________ U.S. citizen, of legal age, and a resident of

_________________________after having been duly sworn to in accordance
with law do hereby depose and state:

1. That I am a U.S. Citizen by virtue of naturalization on _____________

2. As proof thereof, I am attaching a copy of my U.S. Passport with Passport

No. ________________;

3. That the annexed documents are true, exact, unaltered, and faithful
copies of the original;

4. That I am executing this affidavit to attest to the truth of all the foregoing
facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my signature this _____

day of _________, ________, in the ________________________.

____________________
Affiant