Comment [Note1]: General form of

Affidavit Affidavit to be used when two persons wish

to make a sworn statement in the presence
of a Notary Public. Statement by Notary
Public.
We, Full Name of both Persons Making Sworn Statement of Addresses of Persons Making NB: The Notary Public must witness the
Sworn Statement, being of legal age, do hereby depose and say under oath as follows: signature and sign and seal the
document.

1. Insert List of Statements Being Sworn

2.

3.

Witness our hand under the penalties of perjury Date of Statement (ie. July 1, 2000)

Signature Of First Deponent

Signature Of Second Deponent

STATE OF STATE
COUNTY OF COUNTY

On Date of Statement (ie. July 1, 2000) before me, Full Name of Notary Taking Sworn Statement,
personally appeared Full Name of Persons Making Sworn Statement, personally known to me (or proved
to me on the basis of satisfactory evidence) to be the persons whose name are subscribed to the within
instrument and acknowledged to me that they executed the same in their authorized capacity, and that by
their signature on the instrument the person executed the instrument.

WITNESS my hand and official seal.

Signature