Click here to clear text after printing
(deponent)
○ ○ ○ ○
General form of affidavit
Defendant
○ ○ ○ ○ ○ ○ ○
Sworn by This is the
(1st, 2nd, etc.)
on affidavit by this deponent
Claimant
○ ○
(date filed)
(2)
Address
In the Court
make oath and say as follows:(3)
(3)
Set out in numbered paragraphs, the facts deposed to.
Claim No.
Sworn at County of this day of
in the [19 ][20 ]
Before me
N285 - w3 General form of affidavit (4.99)
Officer of a Court, appointed by the Judge to take Affidavits.
Printed on behalf of The Court Service
○
○
(1) Full names and occupation of deponent.
I (1) of (2)
○
○
○
○
○
○ ○
filed on behalf of
(party)
on