The undersigned,


1. .............,

2. .............,


hereby declare they want to arrange their divorce through Mr. M.C.J. Teurlings, lawyer in Amsterdam.


			......... 2009  ...........





________________________ 			______________________
........						...........




 

Notary, declares that the signatures are those of ............. and ............... and that they both have the ......... nationality.


			   2009 .........................






_______________________
 
??



 

 

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