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(Bicln'l sizch will mmsl~l~.d»`mal dgl\~la`\`¢.¢:lailsle\eega\-ulq. fo o¢lz. ` r1 wind l'>mi i§mn»el ¢l\‘~¢l wl Pc\@ o li\/\.>'\.~i,\ vo(~¢l\ioi\,i,w.ii, inc iam mm c»w uzi 0\ ill.“¥l\q.~lai:l(ll\u¥ Qa_imol engaged {v\ wlna\l{mr owe wienle wilk llie §lcil?e w`\l'lr\ml' m\i i‘.on$énl" l i\JL\M( \"'mpl"\'eol¢ §u%as"l?cl . or i'i\clicailédl lo @wv\w/ ~lq all si>. `l'l/\iz£€ml l?\nal ll\v €nlri~l Vcrsim 65 \ll\o. $ac/lii alj all-l'l\e owes were cl'\» mgin evil-.ielq. lv\ ll\i M\imlnm@ ilwu C>n>m\. il won-l pmm L»|’l Ea'¢;lu‘cw\ ll/lur~l»'-» via loei?\g‘llm 'W\civ\ allre@_l\~`r\% l'l\o_c‘lll`cnse lq l,>e fmb \-eqlc\ml l')\; w\e‘ C¢>v\li~@nlicl\hg eve ~ i\\-l'l/\i€\g l\rnA {n`ilw"oll\{ §lul'£ ~l/\'ulr\/\lulli,{ \`v\ mg oml`eas"\mn. l).>lml\} ii il walling m qul¢ lilu G li"cii. \‘l' ali oilsq qiv'mq -ll\v. §l'ule Gll -ll\z.lpue el li\ -\'l\o_, ease \\.>'.'"Lw\o Qmo‘~w 0'\(1).\‘ ll\sl¢l Ciumel \clié\ ml\.{\\ “Yl\mqui\. l Coii|¢lv\` saw lélizl."(l\a carl llmxl< l:ws£.l lqlcl m_-l l\£wl lq SCQ\A\ St>MLl'l\`wq. `l'l'\£lo.clr -l'lncrl ~lcmel~ Y\v`\eclo\ olicl wl C\)~U\ \Olm»l`\~l\\ ‘Ma,a$ ~l’lNL Sl/\m>l-Q( £:>i" cl Q\)QJ\ _SQinig M,` Ou\`A!mci)_£l lo\\ 'l'l\£_~l£.£`l~i`mamf slu_ wwel¢-guua_. 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' l UomJ/ay uaq Z'>`,ZUIS ` [lld)or')é/ (brc/Dr)a¢/L/L/L//p'?i ' ml xz@d un;l 310) F.zu.y@v/u_ ~ +%¢rkrr)< 1@3¢@7 , 5 wm \o€\ ATC-06O (Rev. 7) Attachment 2 NOTICE . g OFFENDER NOTARY PUBLIC SERVICE Under both Federal law (28 U.S.C § 1746) and State law (V.T.C.A. Civil Practice & Remedies Code, §l32.00]-l32.003), offenders incarcerated in Texas may use an unsworn declaration under penalty of perjury in place of a written declaration, verification, certification, oath, or affidavit sworn before a Notary Public. ln a request for Notary Public service, each offender must explain why an Uns`worn Declaration is insufficient before Notary Public service will be provided ` **************************#************$************************************** An example af an unsworn declaration pursuant lo State law is as follows: "My name is C-’ia/\DY\ F}` _" ercihnq my date ofbirth is 9 1 l .S'&[Z , (First) (M iddle) (Last) and my inmate identifying number, is \Y_\B\_'\ig'?¢'l_/ . l am presently incarcerated in D<\\ Q.L€)\ \x¢\.\‘\’ ~< T‘O.C,§ in \bLuC& QGX;\C ` . (Corrections unit name) _ (City) \>¢\C\\'\\’U\ ’\'€XCLS fl \03 l£'? . l declare under penalty of (County) (State) (Zip Code) perjury that the foregoing is true and correct. Executed on the l'\-“r\day of S\M\€/ ' , 2 *****************$*****#**********************#******** ********#$#*********** An example of an unsworn declaration pursuan/ to Federal law is as follows: (insert offender name and TDCJ number), being (insert TDCJ unit name), in County, Texas, declare under penalty of perjury that the foregoing is true l presently incarcerated in and correct. b Executed on the , day of ' , 20 . ` (Offender Signature) *****************$****************************************************¥***#*** NOTICE NOTARY PUBLIC SERVICE DENIAL / Regarding your request for Notary Public service, insufficient justification 'was provided necessitating Notary Public service. l-lowever, you may proceed with an Unsworn Declaration. l\>»~s~\z\we\i_`l»ma“brssgi\\ im ms (Signature - Notary) (Date) k .“)0\5 ()\g,¢\"\~ago\ no§r\’\(i?,O\i/vua off M\LS~Q O\o C\/\…AKJ @1/‘\\/\¢/\ L ‘ l l”f’