Attestation Letter

Appendix VI – Attestation Letter

[1] I am:

A Certified Public Notary
An Attorney
An Official Public witness

Name:

_______________________________________________________________________

Organization Name:

___________________________________________________________

Organization Address:

___________________________________________________________

Telephone Number: ___________________________________________________________


Professional License and/or Association Number(s):_________________________

This letter of attestation is being provided on behalf of the following entity:

CA Owner Organization’s Name:

________________________________________________________________

CA Owner Organization’s Address:

________________________________________________________________

CA Owner Organization’s Telephone Number:

________________________________________________________________

I attest that:

I have read the attached Key Ceremony Script
I have verified the identity of the Digi-CAST2™ Key Ceremony Administrator
I have validated the identity of each witness attendee
I have validated the identity of each shareholder attendee
I have validated the identity of each observer attendee
I have observed the Key Ceremony
I have observed all the attendees of the Key Ceremony
The Key Ceremony was performed as described in the attached Script
I have certified the signed Component Receipt Documents
I have certified the sealed Archive Folder

Under penalties of perjury, I declare to the best of my knowledge and belief, that the information I have provided is true, correct, and complete.

Signature: ___________________________________ Date: ____________________

Notary Signature: _____________________________ Date: ____________________

Appendix III – Entry/Exit Log

CA Owner Organization’s Name:

________________________________________________________________

CA Owner Organization’s Address:

________________________________________________________________

CA Owner Organization’s Telephone Number:

________________________________________________________________