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    Form - Expansion - Petition Afidavit

    Uploaded by

    Benj
    This document is an affidavit for an expansion petition. It certifies that each signature on the petition was witnessed being signed. The affiant signs and dates the document, and it is notarized, with the notary providing their signature, printed name, county of residence, and commission expiration date.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Form - Expansion - Petition Afidavit

    Uploaded by

    Benj
    56 views1 page
    This document is an affidavit for an expansion petition. It certifies that each signature on the petition was witnessed being signed. The affiant signs and dates the document, and it is notarized, with the notary providing their signature, printed name, county of residence, and commission expiration date.

    Original Title

    Form_-_Expansion_-_Petition_Afidavit_(2).doc

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    © © All Rights Reserved

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    This document is an affidavit for an expansion petition. It certifies that each signature on the petition was witnessed being signed. The affiant signs and dates the document, and it is notarized, with the notary providing their signature, printed name, county of residence, and commission expiration date.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    56 views1 page

    Form - Expansion - Petition Afidavit

    Uploaded by

    Benj
    This document is an affidavit for an expansion petition. It certifies that each signature on the petition was witnessed being signed. The affiant signs and dates the document, and it is notarized, with the notary providing their signature, printed name, county of residence, and commission expiration date.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    EXPANSION PETITION AFFIDAVIT

    I, [Person’s Name], am a resident and registered voter of the [City/Town/Township] of


    ________________, County of [Name of County], State of Indiana, and do hereby certify, swear
    or affirm under the penalty of perjury that I am competent to give the following declaration
    based on my personal knowledge, and that the following statement is true and correct to the best
    of my knowledge:

    Each signature on [OR: “pages ____ through ____ of”] this petition was affixed in my presence
    and is the true signature of the individual who signed the petition.

    Further the affiant saith naught.

    ______________________________ _____________________________ _________________


    (Print Name) (Sign Name) (Date)

    STATE OF INDIANA)
    ) SS:
    COUNTY OF ____________)

    Before me, a Notary Public in and for said County and State, hereby certify that
    ______________________________, personally known to me to be the affiant in the foregoing
    affidavit, personally appeared before me this day and having been by me duly sworn deposes and
    says that the facts set forth in the above affidavit are true and correct.

    Witness my hand and official seal this the _________ day of __________, _________.

    ____________________________________
    Signature

    ____________________________________
    Printed Name

    ____________________________________
    County of Residence

    ____________________________________
    Commission Expiration Date

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