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 ________________