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A Division of Posey & Co., Realtors

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1824 S. Fiske
Rockledge, FL
(800)245-7443
(321)631-1590
fax 631-2611

AFFIDAVIT

I do solemnly swear that I will not reveal any information whatsoever to any other persons whomsoever concerning the sale, purchase, lease, option or any other related matters of any racetracks from which I have obtained information from the NATIONAL RACETRACK CLEARINGHOUSE.  I understand that I will be liable to the NATIONAL RACETRACK CLEARINGHOUSE, a wholly owned subsidiary of Posey & Co., Realtors, and the owners and operators of any respective racetracks in the event I violate or transgress the terms of this affidavit.

Executed on this _________________ day of  ___________________.

______________________     ______________________
SIGNATURE

______________________     ______________________
PRINT NAME                          ADDRESS

PHONE:  (        ) ________________

State Of:   ______________________

County Of:  _____________________

Before me personally appeared  ____________________________ to me well known and known by me to be the person described in and who executed the forgoing instrument, and acknowledges to and before me that he executed said instrument for the purposes therein expressed.

Witness my hand and official seal

this __________ day of ___________________.

 

____________________________________
NOTARY PUBLIC

____________________________________
MY COMMISSION EXPIRES

 
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