I hereby certify that no more than five (5) commercial claim/consumer transaction cases or proceedings (including the instant action or proceeding) have been initiated during the present calendar month.
 

                                                                                                _____________________________
                                                                                                            Signature of Claimant

Sworn to before me this _________

day of _________________________
 

_______________________________
Notary or Clerk of the Court
 

NOTE: The Commercial Claims Court shall have no jurisdiction over and shall dismiss any case where this certification is not made.