Affidavit of Debt
Introduction
I, [YOUR NAME], being of lawful age and sound mind, hereby depose and state as follows:
Statement of Facts
I am the creditor in the matter of the debt owed by [DEBTOR'S NAME], hereinafter referred to as the "Debtor."
The Debtor owes a debt to me in the amount of [DEBT AMOUNT] USD, which arose from [REASON OF DEBT].
The debt was incurred on or about [DATE OF DEBT INCURRENCE].
Despite demands for payment, the Debtor has failed to repay the debt or make any satisfactory arrangements for repayment.
Sworn Oath
I solemnly swear under penalty of perjury that the foregoing facts are true and correct to the best of my knowledge, information, and belief.
Executed on this [DATE] day of [MONTH], [YEAR] at [LOCATION].
[YOUR NAME]
Creditor
Notarization
State of [STATE]
County of [COUNTY]
On this [DATE] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that [HE/SHE] executed the same for the purposes therein contained.
Witness my hand and official seal.
[NOTARY PUBLIC NAME]
My Commission Expires: [NOTARY EXPIRY DATE]
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