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                                                          AFFIDAVIT

                OF FOREIGN PROFESSIONAL CORPORATION

Comes now _____________________________________________ as __________________________________________________
                (name)                                                 (office held) 

of the __________________________________________________, a __________________________________________________
                (corporate name)                                       (state)

corporation and being duly sworn does upon his oath state:

All the __________________________________________________________________________________shareholders, a
                                 (Corporate Name) 

majority of the directors and all the officers, except for the possibility of the secretary and treasurer, are licensed in one or more states 

or territories of the United States or the District of Columbia to render a professional service described in the statement of purposes of 

the corporation.

In Affirmation thereof, the facts stated above are true and correct:
(The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo)

_______________________________________________________________________________________________________________
Signature                                                 Printed Name Title                      Date

                                                                    ___________________________________________________
                                                                       Name of Affiant

                                                                                      Aff. (08/04)