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URT OFCFtlMINAL APPEALS
JAN 26 2015
Abel Acosta, Clerk '/
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NOTICE: THIS FORM CONTAINS SENSITIVE DATA.
Unsworn Declaration
(Texas CivilPractice and Remedies Code, Section 132.001)
My name is: fitqiAJ^/^/
First (j
FWf//A
Middle
Trw»p.I TgX^_S
State
7///JY.
Zip Code
I declare under penalty of perjury that all information in the attached document titled,
Kwinoxf k>£ A- [oO Ual/ ?*{-rAin/)At , is true and correct.
T\ Name of Document (f
Signed in J AP f< County, Tzkrt ^
County State
on this date: ( / // / l£~ .
Month Day Year
Your Signature
Pursuant to Texas Civil Practice and Remedies Code Section 132.001, an unsworn declaration may be
used in lieu of a written sworn declaration, verification, certification, oath, or affidavit required bystatute or
required by a rule, order, or requirement adopted as provided by law. This provision does not apply to an
oath of office or an oath required to be taken before a specified official other than a notary public. An
unsworn declaration made under this section must be 1) in writing, 2) signed by the person making the
declaration as true under penalty of perjury and 3) in substantially the form used above.
iTexasLawHelp.org - Unsworn Declaration, August 2012 Page 1 of1