AFFIDAVIT DENYING RECEIPT OF NOTICE OF DISHONOR

State of: ____________________

County of: __________________

________________________ (Name of corporate officer), being first duly sworn, deposes

and says that:

1. _________________ (Corporate officer) is the __________________ (secretary) of

___________________ (corporation), a corporation organized under the laws of
___________________ (state), having its principal office at _____________________
(address), __________________ (city), ______________ (county), ______________
(state), referred to as corporation;

2. _________________ (Corporate officer) is in charge of the principal office of corporation

and has supervision over the records of corporation and has held this office and
responsibility since ____________ (date);

3. _________________ (Corporate officer) has not received any notice of dishonor by

_________________ (nonpayment or nonacceptance) of a __________ (draft or note)
payable to __________________ (payee), of ________________________ (address),
__________________ (city), ______________ County, __________________ (state),
__________________ (drawn on or made by), of _____________________ (address),
__________________ (city), ______________ County, __________________ (state),
which instrument is alleged to bear the endorsement of _________________ (corporate
officer) as agent of corporation; on information and belief, no other officer or employee of
corporation has received a notice similar to the one described above.

4. If corporation had received a notice as described above, the notice would normally come
to ____________________ (corporate officers) attention as ______________ (secretary) of
corporation; however, even after making a diligent search of the records and files of
corporation under _____________________ (corporate officers) supervision,
___________________ (corporate officer) has not found any such notice.