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Eligibility for Award and Release, Affidavit of

Eligibility for Award and Release, Affidavit of



Eligibility for Award and Release, Affidavit of

STATE OF ______________________
COUNTY OF ______________________

Name of winner: ________________________________________
Name of contest: ______________________________________
Date of winning: ________________________
Date of receipt of prize: ________________________
Enter description of prize: ______________________________________

The undersigned, ________________________________________, hereby being sworn to tell the truth states:

1.  That they are the winner of the prize described above.

2. That they were eligible under the rules and regulations of ____________.

3. That they consent to use of their name, image and likeness by STATION.

4.    That their social security or taxpayer identification number is: _______________.

_________________________                ______________________
Winner:  Print Name & Address                Driver’s License Number

________________________
Witness

Eligibility for Award and Release, Affidavit of
Review List

This review list is provided to inform you about this document in question and assist you in its preparation.  Contests are fraught with potential problems, conflicts of interest, and investigation by government agencies.   Use this document to keep a record of awards of any substantial size to have a complete record should anyone or agency challenge the fairness or equity of the contest.

1.  Make multiple copies.  Give one to the winner; keep the other in the Contest file.







NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. It is provided as is, and isn’t necessarily endorsed or approved by getfreelegalforms.com. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counsel before entering into any contract or agreement.

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