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Affidavit of Beneficial Ownership of


TEX LEE MASON

I, am familiar with the facts recited below; and hereby declare under penalty of perjury that
1. I am the party named in the birth certificate attached and made part hereof:
Certificate of Live Birth, 134-79-050391, registered with OHIO DEPARTMENT OF
HEALTH DIVISION OF VITAL STATISTICS, received on May 30,1979 ; and that,
2. I am using this Affidavit to document the status of ownership over the principle, interest, and all accounts of the
TEX LEE MASON; and that,
3. I am the registered owner of the TEX LEE MASON; and that
4. The registrar of titles shall treat me as having attained the age of the majority; and that
5. My date of birth is at May 14, 1979; and that
6. My place of birth is near the geographical location commonly known as Youngstown, Ohio, an entity formed
within the constitutional republic of the United States of America, within the Indigenes of Amexem (the
Americas), Al Moroccan (American) Continents, in an outlying possession of the United States; and that,
7. I am the holder in due course securing 100% of the beneficial interest in the property to which this affidavit
relates, and that;
8. I am the sole power to accept, receive, transfer, disburse, or convey 100% of the proceeds profits, income, and
revenue arising out of the property to which this Certificate of Title relates; and that,
9. I hold all investment powers, which includes the power to dispose, or to direct the disposition of, such portion
of Certificate of Title held by the Trust; and that,
10. I authorizes this affidavit to be provided to any withholding agent that has control, receipt or custody of the
profits, proceeds, revenue, or income derived from the property subject to the attached Certificate of Title; and
that,

I hereby declare under penalty of perjury that the above information is complete, correct, and true to the best of my
knowledge.

___________________________
by: Mason, Tex Lee, Owner
WITNESSES
We the undersigned Witnesses hereby stand and attest that the fore-signed, signed this document on the date listed
supra, of their own free will, as witnessed by our signatures below:

______________________________________ __________________________________
By: Jones - Anthony, Smith By: Jackson - Andrew, Smith
c/o 123 Any St. Anytown, CA 12345 c/o 123 Any St. Anytown, CA 12345

California, State } Jurat


}ss.
Los Angeles County }

Subscribed and sworn to (or affirmed) before me on this 3rd day of November 2014, by, Tex Lee
Mason , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

_________________________________________
( Notary)

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