Introduction

I, [YOUR NAME], of legal age, residing at [YOUR ADDRESS], in the County of [COUNTY], State of Wisconsin, being duly sworn, hereby depose and state as follows:

Statement of Facts

1. I am familiar with the matter at hand and have personal knowledge of the facts stated in this affidavit.

2. The purpose of this affidavit is to support a request regarding [REQUEST DESCRIPTION].

3. The request is supported by the following factual information:

   • On [DATE], at approximately [TIME], I was present at [LOCATION], where I witnessed [DESCRIBE THE EVENT/SITUATION IN DETAIL].

   • [CONTINUE AS NEEDED]

Sworn Oath

I do solemnly swear that the foregoing statements are true and correct to the best of my knowledge, information, and belief. I understand that making a false statement in this affidavit may subject me to penalties for perjury under Wisconsin law.

Executed this [DATE] day of [MONTH], [YEAR].

[YOUR NAME]

Affiant

Notarization

State of Wisconsin

County of [COUNTY]

On this [DATE] day of [MONTH], [YEAR], before me, the undersigned, 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 they executed the same for the purposes therein contained.

Witness my hand and official seal.

Notary Public for the State of Wisconsin

My Commission Expires: [EXPIRATION DATE]

[NOTARY PUBLIC SEAL]

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