FORM 35B

ANSWERS ON INTERROGATORIES

(General Heading — Form 4A)

AFFIDAVIT OF (name) — INTERROGATORIES

(Recital as in Form 4D)

That the following answers to the questions dated (date) submitted by the (identify examining party) are true, to the best of my knowledge, information and belief:

1.	(Number each answer to correspond with the question. Where the deponent objects to answering a question, state: I object to answering this question on the ground that it is irrelevant to the matters in issue or that the information sought is privileged because (specify) or as may be.)

(SWORN, etc. as in Form 4D)