Comment [NOTE1]: General form of

Affidavit Affidavit to be sworn by someone in the

Presence of a Notary Public.
The facts which are being sworn to must be
set out in the body of the Affidavit.

UNITED STATES OF AMERICA )

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STATE OF )
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I, , of the , in the State of , make oath and say as follows:

1.

2.

3. I make this affidavit for no improper purpose.

SWORN before me this _____ day of )

, )
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A Notary Public )
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