General affidavit


I, <Full Name>, do under oath depose and say:

I am over the age of eighteen years.

<Body of Statement.>

I affirm the statements above to be true to the best of my knowledge and belief.

IN WITNESS WHEREOF, and under penalty of perjury under the laws of the State of <State>, I affix my hand this <Day> day of <Month>, <Year>.

<Full Name>

STATE OF <State>, COUNTY OF <County>, ss.:

I, __________________________________, do hereby certify that on this

______ day of ________, __________, personally appeared before me

known to be the person(s) who executed the foregoing instrument.


Notary Public in and for the State of _________________.

My commission expires _______________.

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