AFFIDAVIT OF COURSE COMPLETION Iowa 2017 On-Demand CLE Iowa Activity Number 282160 I certify under penalty of perjury that I completed ____ hours of the Continuing Legal Education program "Iowa Trust Accounts" offered by Richard Clem Continuing Legal Education. During the course of the audio program, I heard the following codes given: E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ E __ __ __ I certify under penalty of perjury and pursuant to the laws of the state of Iowa that the preceding is true and correct. Date: ______________ Signature: ________________________________ To sign this affidavit, you may type your name above next to the word "signature". If you prefer, you may print this page, sign it traditionally, and e-mail or mail me a copy. If signing traditionally, please print your name legibly as well. Upon completion, please submit this form to Richard Clem Continuing Legal Education by e-mail or U.S. Mail. Do NOT submit this form to the Iowa CLE Commission. Return form to: Richard P. Clem PO Box 14957 Minneapolis, MN 55414 clem.law@usa.net