MODEL 2 DECLARACIÓ JURADA DEL/LA SOL·LICITANT Jo _______________________________________ d’estat civil_______________ de ________anys d’edat, amb DNI/NIF numero ________________ domiciliat/ada al ____________________________ _______________________de Montcada i Reixac. DECLARO SOTA LA MEVA RESPONSABILITAT, que_________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________. Tot això ho faig constar sota la meva responsabilitat als efectes oportuns. Signat _____________________ Montcada i Reixac, a _________ de __________________2012. MODELO 2 DECLARACIÓN JURADA DEL/LA SOLICITANTE Yo _______________________________________ con estado civil_______________ de ________años de edad, con DNI/NIF numero ________________ domiciliado/a en_________________________________________________de Montcada i Reixac. DECLARO BAJO MI RESPONSABILIDAD, que_________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Todo esto lo hago constar bajo mi responsabilidad a los efectos oportunos. Firmado _____________________ Montcada i Reixac, a _________ de __________________2012.