SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO AND MINISTER OATHS. 1. This sworn statement is submitted to___ [print name of the public ...
SIGNED IN THE PRESENCE OFACKNOWLEDGMENT SUBSCRIBED AND SWORN to before me this day of , 20 , affiant exhibited to me his/her Community Tax Certificate No. issued onat , Philippines. VENDOR SIGNATURE PUBLIC ENTITY CRIMES FORMSWORN STATEMENT UNDER SECTION 287.133(3) (1) FLORIDA STATUTES THIS FORM...