We, The Undersigned President, Secretary And Treasurer Of The Above Stated Fair, Being Duly Sworn On Oath Depose And Say The Said Association/Society, Being Duly Incorporated Under The Laws Of The State Of Iowa Held A Fair Known As The On These Days Of , In Or Near The City Of , And Said Fair Consists Of A True Exhibition Of Livestock, Together With Agricultural Products And Farm Implements As Contemplated By Law (Either Section 174.1 Or 174.10).
We Further Depose And Say That The Following Is A Statement Of The Actual Amount Paid In Cash Premiums By The Association/Society For The Current Year, This Statement Corresponds With The Published Offer Of Premiums, And That No Deductions Have Been Made For Entry Fees, Stall Or Pen Rent. We Further Depose And Say That No Part Of The Below Statement Was Paid For Speed Events Or To Secure Games Or Amusements. We Further Depose And Say That State Appropriated Funds Received Were Used For Infrastructure Purposes Only.