You are on page 1of 1

Form 1-304.1 Affidavit -- General [ ^ ] ,[and spouse] * * Plaintiff(s) * * v. * * [ ^ ] * * Defendant(s) * * * * * * * * * * * * * * * * * * * IN THE [CIRCUIT/DISTRICT] COURT FOR [ ^ ] Civil No.

[ ^ ] * * * * * * * * * * * * * * *

Affidavit 1. I, [ ^ ], am competent to testify. 2. I am [ ^ ] of [ ^ ] of the defendant [ ^ ], a position I have held since 19[ ^ ]. 3. I am informed by counsel that the [ ^ ] which is the subject of the plaintiffs' product liability claim bears model number [ ^ ] and serial number [ ^ ] which are engraved [ ^ ]. 4. I have examined the [ ^ ] records of [ ^ ] and determined that [ ^ ] never manufactured or sold a [ ^ ] bearing such a model or serial number; moreover, [ ^ ] never has employed an engraving process for the application of model or serial numbers to products. 5. The [ ^ ] is not a [ ^ ] product. I solemnly affirm under the penalties of perjury that the contents of the foregoing Affidavit are true to the best of my knowledge, information and belief.

[ ^ ] [Title and Company Name]

You might also like