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(5) ATC-060 Attachment 060-2 NOTARY OFFENDER NOTARY PUBLIC SERVICE Under both federal law (28 U.S.C. § 1746) and State law (V.T.C.A. Civil Practice & Remedies Code,§ 132.001-132.003), offenders incarcerated in Texas may use an unsworn declaration under penalty of perjury in place of a written declaration verification, certification, oath, or affidavit sworn before a Notary Public. An example of an unsworn declaration is as follows: ' "l O.em~+(f \A~ k-e \ lu()'V\ (Insert offender name and TDCJ number), being presently incarcerated in J1ll C(onnRil ·insert TDCJ unit name), in Q.et/'JJ11ecounty, Texas, declare under pE:nalty of perjury that the foregoing is true and correct.

Executed on /2// of- , 20 /f. ~~LL.::c~l1L.li.L(..M.I'I.L:..L...:~:..u.<IL!L~- Public ser\'ice will be pr~vided. .

NOTARY + In a request for Notary Public service, each offender must explain why an Unsworn Declaration is insufficient before Notary Jq?J ~ q?q ~~OTARY PUBLIC SERVICE DENIAL Regard in~ our request f r Notary Public service, insufficient justificat.ion was provided necessitating Not.ary Public service.

Howevet(you may pro ith an ll nsworn Declaration. . f:J./Jo (DJtC) b)

ATC-060 Attachment 060-2 ' .

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