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) of , Your Name Business Name being first duly sworn under penalty of perjury, does solemnly affirm and declare that the following assertions are true: THAT he/she is the person to whom Nevada State Controller s Warrant No. Check number (Check one: Accounts Payable Payroll), dated , was issued for the sum of Check Date $ . Check Amount THAT said.

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  1. Click the Get Form button to start filling out.
  2. Switch on the Wizard mode on the top toolbar to obtain more tips.
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  4. Be sure the details you fill in X X X X B F is updated and accurate.
  5. Indicate the date to the document with the Date feature.
  6. Select the Sign icon and make a digital signature. Feel free to use 3 available options; typing, drawing, or capturing one.
  7. Make certain each and every field has been filled in properly.
  8. Select Done in the top right corne to export the sample. There are various options for receiving the doc. As an instant download, an attachment in an email or through the mail as a hard copy.

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