EXHIBIT (a)(1)(iii) FORM OF AFFIDAVIT AND INDEMNIFICATION AGREEMENT FOR MISSING CERTIFICATE(S) OF OWNERSHIP. AFFIDAVIT AND INDEMNIFICATION AGREEMENT FOR MISSING CERTIFICATE(S) OF OWNERSHIP State of ______________ County of ____________...And Indemnification Agreement • May 10th, 2002 • Orig LLC • Real estate • Georgia
Contract Type FiledMay 10th, 2002 Company Industry Jurisdiction