AFFIDAVIT OF EXECUTIONI, (Name of W

AFFIDAVIT OF EXECUTION

I, (Name of Witness 1) ,
of the City of

AND (Name of Witness 2) ,
of the City of
hereby MAKE OATH AND SAY:

1. On January , 2015, we were both present at the same time and saw the attached power of attorney executed by Hoa Tran ,and we signed the document in the grantor=s presence as attesting witnesses.
2. At the time we witnessed the execution of the power of attorney we were both eighteen years of age or older.
3. We have no reason to believe that the grantor is incapable of giving a continuing power of attorney.
4. We are not:
a) the attorney(s) named in this power of attorney nor a spouse or partner of the named attorney(s);
b) a spouse or partner of the grantor;
c) a child of the grantor or a person whom the grantor has demonstrated a settled intention to treat as his or her child; or
d) a person whose property is under guardianship or who has a guardian of the person.
Sworn before me at the )
City of , in the )
Municipality of )
, this ______ day of )
) Witness 1:
January 2015

________________
Witness 2:
A commissioner, etc.