The undersigned states that he or she has duly executed the attached ____________ dated ____________, 20 ______ for and on behalf of (name of company); that he or she is (title of officer) of such company; and that all action by stockholders, directors, and other bodies necessary to authorize the undersigned to execute and file such instrument has been taken. The undersigned further states that he or she is familiar with such instrument, and the contents thereof, and that the facts therein set forth are true to the best of his or her knowledge, information and belief.
_______________________________
(Signature)
17 C.F.R. §270.0-2