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Record

Blank business records certificate of authenticity form

EFTA00128963

2020R00037 - 008

CERTIFICATE OF AUTHENTICITY OF BUSINESS RECORDS PURSUANT TO FEDERAL RULES OF EVIDENCE 902(11) AND 902(13)

I, ___, certify under penalty of perjury as follows: (Name)

I am the ___ of ___

(Title)

(Company Name)

and as such am the Custodian/Responsible Officer regarding the following described records, which are being produced along with this certification:

[Description of Records]

I know and declare that:

  • These records were made at or near the time the events or matters they describe occurred;

  • These records were created by someone having personal knowledge of the events or matters they describe;

  • These records were kept in the course of regularly conducted activity of the company named above;

  • It is the regular practice of this company to generate these records;

  • This certification is intended to satisfy Rules 902(11) and 902(13) of the Federal Rules of Evidence.

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

Date

Signature

Printed name

Title

Company

Contact number

PLEASE RETURN COMPLETED FORM WITH DOCUMENTS