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Dear Homestead Support,


I hereby certify under penalty of perjury that I am the owner or am authorized to act on behalf of the owner of the intellectual property rights. I have a good faith belief that the use of the material identified below has not been authorized by the owner, its agents or the law. Please promptly remove the infringing material or disable access to it.

• Name of the Intellectual Property Owner:
  Name and/or Description of the Infringed Work or Right:
  Description of the Infringing Material:
  Location of the Infringing Material:
  Date:

I can be contacted at:

• Name:
  Title:
  Company or Organization:
  Street Address:
  City:
  State:
  Zip:
  
  Telephone:
  Fax:
  Email:

I certify under penalty of perjury the truth of the above information.

Signature: