State of [STATE]

County of [COUNTY]

Introduction:

I, [Your Name], being duly sworn, depose and state:

Statement of Facts:

1. I reside at [Your Address], in the city of [City], county of [County], state of [State]. I am the [owner/lessee/occupant] of the property located at [Property Address], which is the subject of this affidavit.
   

2. On [Date], the above-mentioned property sustained significant damage due to a severe thunderstorm that caused widespread flooding and property damage in the area, including fallen trees and power outages.

3. The damages incurred as a result of the event are as follows:

• Roof damage due to falling tree: Estimated repair cost $[Amount]

• Broken windows from high winds: Estimated replacement cost $[Amount]

• Water damage to the living room flooring: Estimated repair cost $[Amount]

4. The total estimated cost to repair or replace the damaged property is $[Total Amount].

Statement of Truth:

I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief. I understand that this affidavit is made to support my claim for damages and may be used in court proceedings, insurance claims, or other legal or administrative processes related to the damage of the property.

Signature:

[Your Name]

Executed on this [DAY] of [MONTH], [YEAR]

Subscribed and sworn to before me this [DAY] of [MONTH], [YEAR], by [Your Name], who is personally known to me or has produced identification.

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