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Affidavit: Signature of Witness Signature of Deponent

This affidavit document contains statements from a deponent affirming that statements made based on information and belief are believed to be true. The deponent signed the document under penalty of perjury on a specified date. A witness also signed the document, providing their address and witnessing the deponent's signature.

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Carmon Madison
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1K views2 pages

Affidavit: Signature of Witness Signature of Deponent

This affidavit document contains statements from a deponent affirming that statements made based on information and belief are believed to be true. The deponent signed the document under penalty of perjury on a specified date. A witness also signed the document, providing their address and witnessing the deponent's signature.

Uploaded by

Carmon Madison
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
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Affidavit

BE IT ACKNOWLEDGED, that       of       (address),      (city),       (state),


County of      , the undersigned deponent, being of legal age, does hereby depose and
say under oath as follows:      

I affirm that the foregoing is true except as to statements made upon information and
belief, and as to those I believe them to be true.

Witness my hand under the penalties of perjury this       day of      , 20     .

Signature of Witness Signature of Deponent

           
Name of Witness Name of Deponent

           
Street Address of Witness Street Address of Deponent

           
City/State/Zip City/State/Zip

State of:      


County of:      

On      , before me,      , personally appeared      , personally known to me (or
proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.

WITNESS my hand and official seal

Signature

Affiant Known Unknown


ID Produced
(Seal)

www.socrates.com Page 1 of 2 LF612-1 • Rev. 11/04


www.socrates.com Page 2 of 2 LF612-1 • Rev. 11/04

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