Authorization Declaration Form
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AUTHORIZATION DECLARATION FORM
, the authorized individual to perform a MSB services
Transaction(s) on behalf of
, providing the following identification,
affirm that:
and I have been directed by such company to conduct business with Order Express, Inc.
in the form of MSB services.
2. I am providing this Affidavit to Order Express, Inc. as evidence of my ability to act on
behalf of said company.
3. I am providing this Affidavit to Order Express, Inc. as evidence of my ability to act on
behalf of said company.
AFFIRMATION
The foregoing statements have been completed and carefully read by the undersigned and I affirm that the foregoing is true and correct. I further solemnly affirm under the penalty of perjury that the above information is true to the best of my knowledge, information and belief.
Formato de autorización
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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.