Department of Homeland Security, U.S. Coast Guard
Oath of Parent or Subsidiary Corporation, Act of September 2, 1958 (46 U.S.C. app. 883-1)
Corporation:
Name _______________________________
Address _______________________________
State of incorporation _______________________________
Status (Parent) ________ (Subsidiary) ________
Name of associated corporation _______________________________
Address _______________________________
State where incorporated _______________________________
Affiant:
Name _______________________________
Address _______________________________
Company _______________________________
Title or capacity _______________________________
I, the affiant named above, swear that the corporation first named herein is the (parent)1 (subsidiary)2 of the associated corporation named, that I am the duly authorized officer or agent of the corporation first named, and that the associated corporation has previously established that it is a citizen within the meaning of the Act of September 2, 1958 (46 U.S.C. app. 883-1).
Signature _______________________________
Subscribed and sworn to before me on the day and year shown
_______________________________
(Notary Public)
46 C.F.R. 68 app B to Subpart A of Part 68