AFFIDAVIT
AFFIDAVIT
STATE
OF XXSTATE
ss:
COUNTY
OF XXCOUNTY
KNOW
ALL YE MEN BY THESE PRESENTS,
That
on this XXth day of XXmonth, XXyear, personally came
and
appeared before me XXyourname, of
XXstreet, XXcity, XXstate
XX00000-0000,
known,
and known to me, who after being first duly sworn, deposes and says:
I present XXevidence. . .
XXfurther evidence
XXend evidence above the
following line.
FURTHER AFFIANT SAYETH NOT.
_________________________
SUBSCRIBED TO AND SWORN TO before me this XXth day
of
XXmonth, XXyear.
___________________________
NOTARY
PUBLIC
My
Commission Expires ________________