FINANCIAL SERVICES AFFIDAVIT FOR AN ATHLETE AGENT REGISTERED AS AN INDIVIDUAL
STATE OF (_______________________) COUNTY OF (______________________)
I, _________________________________________________________, after first being duly sworn, certify that I
(Name)
have not entered into any financial services contracts, as defined by § 2051.001(4) of the Athlete Agents Act, Chapter 2051, Tex. Occupations Code Ann. (the "Act), with any athlete, as defined by § 2051.001(2) of the Act, nor have I provided financial services for any such athlete, including the making and execution of investment and other financial decisions on behalf of the athlete. I further certify that I will not enter into a financial services contract nor provide financial services to an athlete, as defined by the Act, without first posting a $100,000 surety bond with the Texas secretary of state.
__________________________________________ (Signature)
__________________________________________
(Printed or Typed Name)
Subscribed and sworn to before me on this _______ day of _______________________________, _________.
______________________________________________
(Signature of officer administering oath) (Seal of officer administering oath)
_______________________________________________
(Printed or typed name and Title of officer administering oath)
FORM #2502A Dec. 1999