Claim Affidavit Notary Form
I. Introduction
This document hereby referred to as the Claim Affidavit Notary Form, is intended to serve as a legal declaration made under oath before a notary public. It affirms the veracity of certain facts about a legal document used to declare and affirm a statement or claim under oath before a notary public. It serves as a sworn statement regarding facts related to a specific claim or matter.
II. Affirmation of Facts
A. Affiant Information
Name: [Your Name]
Address: [Your Address]
Phone Number: [Your Phone Number]
Email: [Your Email Address]
B. Description of Matter
C. Sworn Statement
I, [Your Name], hereby solemnly affirm that the information provided herein is true and accurate to the best of my knowledge and belief. I understand that any false statement made herein may subject me to penalties for perjury.
D. Witness
E. Notary Acknowledgment
Notary Public: [Notary Public Name]
Commission Number: [Notary Commission Number]
Date of Notarization: [Date of Notarization]
State: [State]
County: [County]
[NOTARY PUBLIC NAME]
My commission expires:
F. Notary Seal
(Space for notary seal or stamp)
VI. Conclusion
By affixing my signature below, I certify that the statements made herein are true, correct, and complete to the best of my knowledge and belief.
[YOUR NAME]
[DATE SIGNED]
This Claim Affidavit Notary Form is executed on the date mentioned above and is witnessed by:
[WITNESS'S NAME]
[DATE SIGNED]
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