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Form 1-304.3 Affidavit -- Notary Public's Certificate ("Long Form") [ ^ ] ,[and spouse] * * Plaintiff(s) * * v.

* * [ ^ ] * * Defendant(s) * * * * * * * * * * * * * * * * * * * IN THE [CIRCUIT/DISTRICT] COURT FOR [ ^ ] Civil No. [ ^ ] * * * * * * * * * * * * * * *

Affidavit [Insert facts that are the subject of the affidavit in numbered paragraphs. See, for example, Forms 1-304.1 and 1-304.2] Notary Certificate STATE OF COUNTY (CITY) OF [ ^ ] [ ^ ]

I hereby certify that on the [ ^ ] day of [ ^ ], 19[ ^ ], before me, the subscriber, a notary public of the State of [ ^ ], in and for the [ ^ ], personally appeared the affiant, [ ^ ], and made oath [or affirmation] in due form of law that the matters and facts set forth in the foregoing Affidavit are true to the best of the affiant's knowledge, information and belief. As witness my notarial seal, hand and

[ ^ ] Notary Public My Commission Expires:

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