Gifting Statement

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Gifting Statement The form below that you complete online is available here to download and print for your records. The downloadable version of the forms requires the free Adobe Acrobat PDF Reader to open. Title 26, United States Code Section: 2501,2502,2503,2504,2511

I, the undersigned do hereby declare under penalties of perjury that the following statements are true and
correct to the very best of my knowledge Any and all property of any nature that I transfer from my ownership
and possession to the pennies in a pond gift activity is intended as a gift and not as an investment. I have not
been sold anything and I have not purchased anything, and I have not been offered any opportunity to do so.
I have been told to not expect any return of any nature, With this statement I waive any and all my rights to
civil or criminal remedies against pennies in a Pond of my gift and the gift activity as a whole, in consideration
of the property that I have been transferred as a gift. I am totally within the law, as it pertains to my activities
herein described. My intent is to give a gift of the undersigned amount to "Pennies In A Pond as an
individual, I acknowledge and Authorize pennies in a pond gift activity to debit/charge my account on file for my
charitable gift. I agree upon click i agree gift statement my account will be debited, for the amount as a recurring
donations for a period of (1) to(3)or(6) months and will automatically terminate as agreed. My gift does not
entitle me to any future opportunity or benefit of any nature. I understand that the gifting activity accepts only
gifts donations. All gifts are welcome I have agreed under this gift contract to not reassert any rights to the
property that I now give freely as a gift to pennies in a pond gift activity to be used as they see fit for the
services they provide to empower and transform a me and you world, versus a you or me world. I am a fully
informed and consenting adult and I have not been misled in anyway. I do hereby declare under penalties of
perjury that the foregoing statement is true and correct, and are binding upon me to the full extent expressed
therein. It is agreed that an electronic acknowledgement submitted by clicking "I Agree" below or a fax copy
of this document will be considered legal and enforceable as an original.