Fillable CERTIFICATE OF FILING (Maryland Judiciary)

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CERTIFICATE OF FILING (Maryland Judiciary)

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U.S.A. forms for Maryland Judiciary

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Located at Case No.
City/County
Court Address
CERTIFICATE OF FILING
I, certify that (1) I am involuntarily
MDJ-005 (01/2019)
Name of Facility
access to the U.S. Postal Service or to a permitted means of electronically filing the attached
pleading or paper; (3) on at approximately
Name
I personally deposited the attached pleading or paper for mailing in a receptacle designated by
Time
the facility for outgoing mail or delivered it to an employee of the facility authorized by the
facility to collect outgoing mail; and (4) the item was in mailable form and had the correct
postage on it.
confined in ; (2) I have no direct
Signature
I solemnly affirm this day of , under the
penalty of perjury and upon personal knowledge that the foregoing statements are true.
Date
(Md. Rule 1-322)
Month Year
Printed Name
COURT OF APPEALS COURT OF SPECIAL APPEALS
CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR
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CERTIFICATE OF FILING (Maryland Judiciary)

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Completed 16 January 2021

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