SAMPLE AFFIDAVIT
I, (Name)
, the (Title) hereby certify as follows:
of the
(County, Town, or Special District) 1. That (Name of Entity) has established a Conservation Trust Fund pursuant to Article 21, 29-21-101, CRS 1973 as amended. 2. That (Name of Entity) wishes to qualify for distribution of Conservation Trust money under the provisions of CRS 29-21-201. 3. That the Governing Board of (Name of Entity) has duly authorized the making of this certification.
(Signature)
(Official Capacity)
Dated this at
day of , Colorado.
,