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SAMPLE AFFIDAVIT
I, , the of the
(Name)(Title)
hereby certify as follows:
(County, Town, or Special District)
1.That
(Name of Entity)
has established a Conservation Trust Fund pursuant to Article 21, 29-21-101, CRS 1973 as amended.
2.That
(Name of Entity)
wishes to qualify for distribution of Conservation Trust money under the provisions of CRS 29-21-201.
3.That the Governing Board of
(Name of Entity)
has duly authorized the making of this certification.
(Signature)
(Official Capacity)
Dated this day of ,
at , Colorado.
