Affidavit

Step 1 of 7

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  • Enter the name of the individual creating this Affidavit

Affidavit

State of ${input_8_45}, County of ${input_8_46}

My current legal name is ${input_8_10_3} and my current occupation is ${input_8_31}. I am presently ${input_8_29} years old, and my current address of residence is ${input_8_20_1}, ${input_8_20_3}, ${input_8_20_4} ${input_8_20_5}.

${field_8_37}

I hereby state that the information above is true, to the best of my knowledge. I also confirm that the information here is both accurate and complete, and relevant information has not been omitted.

Signature of Individual

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Date

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Notary Public

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Title And Rank

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Date of Commission Expiry

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