Utah General Affidavit
Introduction
I, [YOUR NAME], residing at [YOUR ADDRESS], hereby declare and affirm the following statements under penalty of perjury under the laws of the State of Utah:
Statement of Facts
As a requirement supporting claims and requests in administrative proceedings or regulatory matters, I affirm that all statements made herein are as follows:
I am aware of the administrative proceedings currently underway at [AGENCY NAME], and I am submitting this affidavit in support of the applicant's request for approval of the permit, as I have firsthand knowledge of the benefits and impact of the project.
I certify that all information provided in this affidavit is true, accurate, and complete to the best of my knowledge and belief.
I understand the legal implications of providing false information in this affidavit and acknowledge that any misrepresentation may result in legal consequences.
I authorize [AGENCY NAME] to verify the information provided in this affidavit through any necessary means, including contacting relevant third parties or accessing official records.
I am willing to testify under oath to the truthfulness of the statements contained in this affidavit if required to do so.
Sworn Oath
I understand that this affidavit may be used as evidence in administrative proceedings or regulatory matters related to the claim or request being supported.
I affirm that I have not been coerced, threatened, or unduly influenced to provide the statements contained in this affidavit.
Signatures
[YOUR NAME]
Sworn to and subscribed before me on this [DATE] by [YOUR NAME], who is personally known to me or who provided [IDENTIFICATION DOCUMENT] as identification.
[NOTARY PUBLIC'S NAME]
Notary Public
[NOTARY PUBLIC'S EXPIRY DATE]
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