I. Introduction

I, [YOUR NAME], residing at Columbus, OH 43215, being duly sworn, depose and state as follows:

II. Statement of Facts

1. I am the undersigned, [YOUR NAME], and I am the lawful occupant of the premises located at Jacksonville, FL 32099.

2. I solemnly affirm that I do not engage in the rental or leasing of any properties, including but not limited to the premises mentioned above.

3. I further declare that I have never rented or leased any part of the aforementioned premises to any individual, group, or entity.

4. I understand the significance of this affidavit and affirm under oath that all statements made herein are true and correct to the best of my knowledge, information, and belief.

5. I acknowledge that this affidavit is provided voluntarily and is made in good faith to inform the landlord about the rental.

6. I understand that any false statements made in this affidavit may subject me to penalties under the law.

III. Sworn Oath

I swear that I am of legal age and competent to make this affidavit.

IN WITNESS WHEREOF, I have hereunto set my hand and seal on this August 16, 2054.

IV. Signature and Notarization

Signed on this day August 16, 2054, at Jacksonville, FL 32099.

[Your Name]
Affiant

Notary Public:

Subscribed and sworn to (or affirmed) before me on this August 16, 2054, by [Your Name], who proved to me based on satisfactory evidence to be the person who appeared before me.

Notary Public
My Commission Expires: __________

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