GENERAL AFFIDAVIT

STATE OF

COUNTY OF

                                                                                                                                                                                                                                                                                                                   PERSONALLY         came and appeared before me, the undersigned Notary, the within named ___________________________, who is a resident of _________________________ country, State of ___________________________, and makes this his/her statement and General Affidavit upon oath and affirmation of belief and personal knowledge that the following matter, facts and things set forth are true and correct to the best of his/her knowledge:                                                                                                                                                                                                                                                                                                                             (Insert Statement)

DATED this the ____day of ____________________________,20____________                                                                                                                                                                                                                        ______________________                                                                                            signature of affidavit              SWORN to subscribed before me, this __________ day ____   __________ , 20______________                                                                                                                                                                                                                _________________                                                                                                      NOTARY PUBLIC