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    Affidavit Sworn Statement

    Uploaded by

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

    Affidavit Sworn Statement

    Uploaded by

    LaLa Banks
    227 views1 page
    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.

    Original Title

    Affidavit-sworn-statement

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    © © All Rights Reserved

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    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.

    Copyright:

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

    Affidavit Sworn Statement

    Uploaded by

    LaLa Banks
    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.

    Copyright:

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

    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)

    Page 1 of 1

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