Sworn Oath of Public Servant
The information (enumeration) provided will be used exclusively for purposes within the United States of America and will not be used for any statistical purposes outside of the Republic of the United States of America. This statement is verification that in no way will information provided to any Agency, Country, Region, Treaty Member, International Organization, Third Party, or Commercial entity for determining assets of the person with whom you enumerated or the assets of the United States of America.
I hereby swear to the above statement:
_________________________________Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â _____________________________________________
Signed                                                                                                                                   Dated
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