GENERAL AFFIDAVIT
STATE OF
COUNTY OF
PERSONALLY came and appeared before me, the undersigned Notary, the
within
named
______________________________,
who
is
resident
of
___________________ County, State of _____________________, and makes this
his/her statement and General Affidavit upon oath and affirmation of belief and
personal knowledge that the following matters, facts and things set forth are true and
correct to the best of his/her knowledge:
(Insert Statement)
DATED this the ____ day of _______________, 20____.
________________________________
__
Signature of Affiant
SWORN to and subscribed before me, this the ____ day of
_______________, 20____.
____________________________________
NOTARY PUBLIC
My Commission Expires:
____________________