This Free Louisiana Form is brought to you by
Central Auto Title and Notary, Inc. 13366 Hooper Road, Suite A Central, Louisiana 70818 (Greater Baton Rouge Area) Phone: (225) 262-0222 Fax: (225) 262-0276
Affidavit STATE OF LOUISIANA PARISH OF EAST BATON ROUGE BEFORE ME, the undersigned authority, personally came and appeared _______________________
who after being by me first duly sworn did depose and say that:
_____________________________
SWORN TO AND SUBSCRIBED before me, Notary, at ________________, Louisiana, this ____ day of __________, 20___.
________________________________ _________________, Notary Public Notary No. __________ My Commission is for life
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CENTRAL AUTO TITLE & NOTARY
« Your One Stop Shop for all your Notary Needs! » 13366 Hooper Road, Suite A Baton Rouge, LA 70818 Phone: 225-262-0222 Fax: 225-262-0276