I, , do hereby certify that:
DISTRICT COURT OF MARYLAND FOR
Located at Case No.
City/County
Court Address
Plaintiff/Judgment Creditor
Address
Defendant/Judgment Debtor
Address
vs.
CERTIFICATION OF CUSTODIAN OF RECORDS OR OTHER QUALIFIED INDIVIDUAL
DC-CV-110 (04/2017)
Date
Signature
City, State, Zip City, State, Zip
Printed Name
Title
(Md. Rule 5-902(b))
(1) I am the Custodian of Records of or am otherwise qualified to administer the records for:
, and
organization that maintains the records
(2) The attached records
(a) are true and correct copies of records that were made at or near the time of the occurrence of the matters set
forth by, or from the information transmitted by, a person with knowledge of these matters; and
(b) were kept in the course of regularly conducted activity; and
(c) were made and kept by the regularly conducted business activity as a regular practice.
I declare under penalty of perjury that the foregoing is true and correct.
