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Record · Aug. 11, 2021

Blank custodian of records declaration form, executed August 2021

A template declaration certifying business records provided to the SDNY for prosecution, with the declarant's name and records left blank.Machine-written summary

Declaration of Custodian of Records

Pursuant to 28 U.S.C. § 1746, I, the undersigned, hereby declare:

My name is

(name of declarant)

I am a United States citizen and I am over eighteen years of age. I am a custodian of records of the business named below (the “Business”), or I am otherwise qualified as a result of my position with the Business to make this declaration.

I have reviewed records $ ^{1} $ of the Business, which have been provided to law enforcement in connection with an investigation and prosecution by the United States Attorney’s Office for the Southern District of New York. Those records consist of the following (collectively, the “Records”):

Pursuant to Rules 902(11) and 803(6) of the Federal Rules of Evidence, I hereby certify that the foregoing Records of the Business:

(1) were made at or near the time of the occurrence of the matters set forth in the records, by, or from information transmitted by, a person with knowledge of those matters;

(2) were kept in the course of regularly conducted business activity; and

(3) were made by the regularly conducted business activity as a regular practice.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on August 11e, 2021 (date)

1 As defined in Fed. R. Evid. 803(6), “record” includes a memorandum, report, record, or data compilation, in any form, of acts, events, conditions, opinions, or diagnoses. The term “business” as used in Fed. R. Evid. 803(6) and the above declaration includes business, institution, association, profession, occupation, and calling of every kind, whether or not conducted for profit.

EFTA00100751