Introduction

I, [YOUR NAME], being of lawful age and sound mind, do hereby depose and state as follows:

State of Facts

1. I am a resident of [YOUR ADDRESS], [STATE], [ZIP CODE].

2. I am familiar with the facts and circumstances surrounding the civil case between [PLAINTIFF'S NAME] and [DEFENDANT'S NAME], currently pending in the [COURT NAME], [COURT LOCATION], docket number [DOCKET NUMBER].

3. I witnessed the following:

   • On [DATE], at approximately 2:00 PM, I was at the [INCIDENT LOCATION] when I observed [DEFENDANT'S NAME] enter the premises and engage in a verbal altercation with [PLAINTIFF'S NAME].

   • During the altercation, [DEFENDANT'S NAME] raised their voice and made threatening gestures towards [PLAINTIFF'S NAME], causing a disturbance in the area.

   • I heard [DEFENDANT'S NAME] make statements indicating an intent to harm [PLAINTIFF'S NAME], including threats of physical violence and property damage.

   • I observed [PLAINTIFF'S NAME] attempting to retreat and defuse the situation, but [DEFENDANT'S NAME] continued to escalate the conflict.

   • The incident lasted for approximately 10 minutes before security personnel arrived and intervened, separating the parties involved.

Sworn Oath

I swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that making false statements in this affidavit is punishable by law.

Executed on [DATE].

[YOUR NAME]

Sworn to and subscribed before me this [DATE].

Notary Public

My Commission Expires: [NOTARY EXPIRY DATE]

[NOTARY STAMP]

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