State of North Dakota
County of [County Name]

I, [Your Name], residing at [Your Address], do hereby depose and say under oath that the following statements are true and correct to the best of my knowledge and understanding:

STATEMENT OF FACTS

1. I am of legal age and fully competent to make this affidavit.

2. On [Date], I was present at [Address] in [City/Town Name], North Dakota, when an incident occurred.

3. The incident involved [Describe General Nature of Incident].

4. I observed the situation unfold and noted the involvement of relevant parties.

5. Despite efforts to address the situation peacefully, the matter escalated, requiring intervention.

6. I promptly notified the appropriate authorities to address the unfolding events.

7. Emergency responders arrived promptly and took necessary actions to resolve the situation.

8. I am prepared to assist in any further investigations or proceedings related to the incident.

SWORN OATH

I affirm that all the statements iterated herein are accurate and truthful to the best of my knowledge and belief.

I understand the repercussions of making a false statement and am prepared to assist in any further investigations or legal proceedings related to the incident.

SIGNATURE

[Your Name]
Affiant

Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]

Notary Public in and for the State of North Dakota

My Commission Expires: [Expiry Date]

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