Affidavit of Eligibility

STATE OF California COUNTY OF Marin County I James Smith 8 Hayes St, San Rafael, California, 94901, depose and say that: I am of legal age in my home territory. My social security number is 123-45-6789 and my telephone number is (415) 666-5226; I am submitting this Affidavit of Eligibility to James Sing, with the understanding that it will be relied upon by James Sing in connection with my having been selected the winner of The Turtle Creek Sweepstakes; I represent that I am eligible to win The Turtle Creek Sweepstakes; I represent that I satisfy all eligibility requirements set forth in the official rules, which I acknowledge having read and understood, and any other requirements imposed by law; I hereby represent and affirm that I have read, have complied with, and will continue to comply with all the rules, regulations, terms and conditions set forth in the Official Rules; I have not perpetrated and will not perpetrate any fraud or deception in connection with the contest and have not sought to influence the outcome other than by participating as expressly permitted in the Official Rules; I have been given a full opportunity to review and analyze the Official Rules. I fully and completely understand all of the terms of this Affidavit and sign it voluntarily, freely, and knowingly. Oath or Affirmation: I certify under penalty of perjury under California law that I know the contents of this Affidavit signed by me and that the statements are true and correct.

____________________________________ _____________________ James Smith Date STATE OF CALIFORNIA COUNTY OF Marin County

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On ____________________ before me, ________________________________, personally appeared _________________, proved to me on the basis of satisfactory evidence to be the person(s) whose name is subscribed to the within Affidavit and acknowledged to me that he/she executed the same in his/her authorized capacity, and who, being first duly sworn on oath according to law, deposes and says that he/she has read the foregoing Affidavit subscribed by him/her, and that the matters stated herein are true to the best of his/her information, knowledge and belief. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

________________________________________ (Notary Seal) Signature of Notary Public

© This is a Legal Document ©

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