Section 91-B:4 Affidavit.


Proof of publication by broadcast of the notice shall be made by affidavit of the owner, manager, assistant manager or program director of the station, in substantially the following form:

AFFIDAVIT OF BROADCAST


State of New Hampshire
County of__________
    I __________, being duly sworn, depose and say that I am the owner, manager, assistant manager or program director of station __________, a radio (television) station broadcasting from __________, and state that the notice (or summary or description of the notice) described as __________ was broadcast on the following days:
____________________
(here set forth dates and times when the notice was broadcast.)
 ____________________ 
 Subscribed and sworn before me ________________________________, 20___. 
 Month, Day 
____________________
Notary Public/Justice of the Peace
My commission expires: ____________________

Source. 1983, 117:1, eff. July 24, 1983.