div class=ts-pagebutton class=gotoPage data-page=1Page 1button div class=ts-imageimg data-url=i-declare-under-the-penalties-of-perjury-that-this-form-has-been-made-in-goodhtmlpage=1 data-page=1 class=ts-thumb lazyload alt=Page 1: · I declare under the penalties of perjury that this form has been made in good faith verified by me and to the best of rnv knowledae and belief is true and corect oursuant loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAIAAAACCAQAAADYv8WvAAAAD0lEQVR42mP8X8AwAgiABKBAv+vAXklAAAAAElFTkSuQmCC data-src=https:reader034vdocumentssitereader034viewer20220420215e77f15bf7128d618b6600fehtml5thumbnails1jpg width=140 height=200 divdiv