Notary Letter for Religious Exemption
I, [YOUR NAME], a duly licensed notary public in the state of California, hereby testify that Lester Nolan, came before me this day and declared the following under the penalty of perjury:
I. Identification Confirmation
On this March 15, 2060, before me, the undersigned, [YOUR NAME], a duly commissioned notary public in and for the state of California, personally appeared Lester Nolan. The requester presented a government-issued photo identification (California Driver’s License #D1234567), which I verified to be valid and current. Based on my examination of the presented identification, I confirm that the requester is indeed the person whose name is subscribed on this document.
II. Declaration of Religious Belief
Lester Nolan solemnly affirms the following under the principles of the Christian faith:
Adherence to Christian Faith: Lester Nolan asserts a devout commitment to the principles and teachings of the Christian faith, deeply held and integral to their personal beliefs and values.
Religious Exemption Request: According to Lester Nolan's sincerely held religious convictions, he seeks exemption from mandatory vaccination requirements. This request is rooted in the fundamental tenets of his faith, which guide his actions and decisions in all aspects of life.
III. Exempting Rules/Laws
IV. Affirmation of Sincerity
The individual referenced as Lester Nolan adopts an earnest stance in affirmation and declaration that the affiliations and proclamations to which he is linked are unquestionably authentic and sincere. Furthermore, he asserts emphatically that these commitments or declarations are not propelled by any underlying motive to obscure, avoid, or circumvent any governing laws, regulations, or mandatory prerequisites.
V. Notary Confirmation
Being fully confident of the sincere declaration made by the affiant, I, [YOUR NAME], as a notary public, attest that Lester Nolan has verified his sincere religious concerns in my presence.
I have hereunto set my hand and official seal at my office in Los Angeles, California, this April 10, 2061.
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