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3 Act of State Ed
3 Act of State Ed
AUGUSTACOUNTYCTRCUIT COURT
1 E. JOHNSON ST.
STAUNTON, VA 24401
540-245-5321
DEED RECEIPT
PAYOR'SCOPY
RECEIPT COPY ]. OF 3
1000058.75 P60029
luo-zi
RETURN
ADDRESS:
IYILLIAI HOIYARD
SORRI8
GEXERALOELITGRY USPO
EIAUI{TOI{,VlROlillAtallol
AFFTDAVIT OF
POLITICAISTATUS
I declarethis is an Affidavitof PoliticalStatusandthisincludesall attached
documents.
OocumcntInder:
1. AFFIDAVIT OF POLITICALSTATUSINDEX
7. NON-NECOTIABLESECUzuTYACREEMEN'Tfi]ed on PUBLICRECORDsiteindiaat€dabove.
Arch€type
Fonn: publlcl lul jurlr / Attld.vlt
S.rrlonr on. Surrcm. Court
Act of Statc
Prim.ry SlgnatureC6rtlficatton
(Conventlonde l5 H6y€du 5 Ocrobe. 1961)
TIAS10072,33 UST883,527 UNTS189.(Convention # 12)
I I [l
l, Ld_\r (o- L2q t-\LlrphV , do hereby certify the sentient srgnatureon rhe archetype documentencrosedto
be a true, correct,compieteand'not nlisleadingoriginal,containingthe prim3ry signatureas sealedbelow. This notarizationis tor rhe
purposeof signature (autoqraph)certificationonly, for fo.eign use (i.e., United States of America) of th€ U.S. originated document.
This is pursuant to the Hague Conferenceon Private International Law dat€d Octobe.srh, 1961, at the ConvenrionAbolishhg the
Requirementof Legislationfor ForeignPublicDocuments.It was on 15 October, 1981 in which the Unit€d Stales dectaredas bernga
signatory to thrs conventioa, and thjs proc€dure ls reqoired for the legalizationof admtn skative/judiciat docum€nts as herein
N. I
Acknowl.dgcd bdore tr|c thc lLldav of_\F!1__ A.D.2O1O
t /l
25 L 3 4 o c t -5
APOSTILLE PG0032
aus-ze
(Conventionde la Haye du 5 Octobre 196l )
I. Country: UnitedStaJes
of Amerrca
This publicdocument
4. Bearsthe seal/stamp
of LauraLeeMurphy
Commonwealth
of Virsinia
Celtified
5. at Richmond
Virginia 6. On July28,2010
7. by The Secretary
ofthe Commonwealth
8.No. 2523400-5
9. Seal/Stamp 10.Signalure:
nu'"t
f;w*V
Secretary
of the Commonwealth
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