Affidavit _General Form - 2 Persons_

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Affidavit We, Full Name of both Persons Making Sworn Statement of Addresses of Persons Making Sworn Statement, being of legal age, do hereby depose and say under oath as follows: 1. 2. 3. Insert List of Statements Being Sworn 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

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