General Affidavit Form
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within named person (Affiant), ______________________________, who
is a resident of____________________ County, State of
____________________, personally came and appeared before me, the
undersigned Notary Public, and makes this his/her statement,
testimony and General Affidavit under oath or affirmation, in good
faith, and under penalty of perjury, of sincere belief and personal
knowledge that the following matters, facts, and things set forth
are true and correct, to the best of his/her knowledge:
[INSERT RELEVANT INFORMATION]
Signature of Affiant Date
ACKNOWLEDGEMENT OF NOTARY
STATE OF ________________________
COUNTY OF ______________________
Subscribed and sworn to, or affirmed, before me on this __________ day of ____________________, 20______ by Affiant
Signature of Notary Public: ______________________________
My Commission Expires:
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This form has been prepared for general informational purposes only. It does not constitute legal advice, advertising, a solicitation, or tax advice. Transmission of this form and the information contained herein is not intended to create, and receipt thereof does not constitute formation of, an attorney-client relationship. You should not rely upon this document or information for any purpose without seeking legal advice from an appropriately licensed attorney, including without limitation to review and provide advice on the terms of this form, the appropriate approvals required in connection with the transactions contemplated by this form, and any securities law and other legal issues contemplated by this form or the transactions contemplated by this form.