On this day, before me, the undersigned notary public, personally appeared Elena Marie Halverson, who presented the original Affidavit of Life (Proof of Life Declaration) described below and requested certification of the attached reproduction.
Document certified:Affidavit of Life (Proof of Life Declaration)
Presented by:Elena Marie Halverson
Pages attached:1
Certificate No.:PL-26-089231
Identification:Verified — original inspected in my presence
Intended use:International use · apostille requested
I hereby certify that the attached copy is a true, correct and complete reproduction of the original document that was displayed to me, that I compared the copy to the original page by page, and that the original was neither altered nor defaced. This certification speaks only to the copy and does not certify the content, validity or legal effect of the document itself.