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Example of Affidavit Form

Sample Affidavit Form

Supreme Court of [State name]

Docket # [number]

Joe Example



[Your Name],


    [Your Name], being of full age, on [his/her] oath, testifies and says:

  1. I am the [petitioner, movant, appellant, etc] in the matter above.
  2. [Write all sworn statements in numbered paragraph form. Everything written is sworn under oath and that all the information is true. ]
  3. More space for sworn statements.


Sworn to and subscribed to me on this______________ day of 20__________ .

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