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Affidavit Form Guide

This document is an affidavit containing a sworn statement. It includes identifying information about the affiant such as their name, age, address and residency. The affiant swears under oath to make a statement, and signs the document. A notary then verifies the identity of the affiant and certifies that the affiant acknowledged and executed the statement.

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LaLa Banks
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1K views1 page

Affidavit Form Guide

This document is an affidavit containing a sworn statement. It includes identifying information about the affiant such as their name, age, address and residency. The affiant swears under oath to make a statement, and signs the document. A notary then verifies the identity of the affiant and certifies that the affiant acknowledged and executed the statement.

Uploaded by

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

(SWORN STATEMENT)

Date: ________________, 20____

My legal name is ________________ (“Affiant”) and acknowledge I am:

• Age: ____
• Address: ________________________________
• Residency: ________________

Being duly sworn, hereby swear under oath that:


______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Under penalty of perjury, I hereby declare and affirm that the above-mentioned
statement is, to the best of my knowledge, true and correct.

Affiant’s Signature: _______________________ Date: _____________

NOTARY ACKNOWLEDGEMENT

A notary public or other officer completing this certificate verifies only the identity of the
individual who signed the document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.

State of ________________
County of ________________

On ________________, 20____ before me, ________________, personally appeared


________________ who proved to me on the basis of satisfactory evidence to be the
person whose name is subscribed to the within instrument and acknowledged to me
that they executed the same in their authorized capacity, and that by their signature on
the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of


________________ that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Signature ____________________________ (Seal)

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