I do solemnly swear that I will not reveal any
information whatsoever to any other persons whomsoever concerning the sale, purchase, lease, option or any other related matters of any racetracks from which I have obtained information from the NATIONAL RACETRACK
CLEARINGHOUSE. I understand that I will be liable to the NATIONAL RACETRACK CLEARINGHOUSE, a wholly owned subsidiary of Posey & Co., Realtors, and the owners and operators of any respective racetracks in the
event I violate or transgress the terms of this affidavit.
Executed on this _________________ day of ___________________.
PRINT NAME ADDRESS
PHONE: ( ) ________________
State Of: ______________________
County Of: _____________________
Before me personally appeared
____________________________ to me well known and known by me to be the person described in and who executed the forgoing instrument, and acknowledges to and before me that he executed said instrument for the purposes
Witness my hand and official seal
this __________ day of ___________________.