QUALIFIED INCOME TRUSTS - Georgia

NOTARY PUBLIC, State of Georgia Notary Signature Norma Evans. Print Name Norma Evans. My Commission Expires: 11/10/2012. My Commission Number: 12411-12 SCHEDULE "A" Source Amount 1. Social Security (gross) $ 1800.00 2. Pension (gross) $ 2200.00 CERTIFICATION OF DEPARTMENT OF COMMUNITY HEALTH APPROVED QUALFIED INCOME TRUST ................
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