Notary Sworn Statement

I, [Your Name], residing at [Your Address], being of sound mind and legal capacity, do hereby solemnly affirm under oath and declare the following statement to be true and accurate to the best of my knowledge and belief:

Personal Information of Witness:

• Full Name: [Your Name]

• Address: [Your Address]

• Email Address: [Your Email]

Description of Event or Transaction:

On [Date], at approximately [Time], I, [Your Name], was present at [Your Address], where I witnessed the occurrence of [Brief Description of Event or Transaction]. The event or transaction transpired as follows: [Detailed Description of Event or Transaction].

Sworn Oath:

I solemnly swear, under penalty of perjury, that the foregoing statements are true and accurate to the best of my knowledge, belief, and understanding. I understand that this statement is made to provide truthful information to be used in legal proceedings and that providing false information herein constitutes perjury.

[Your Name](Printed Name):

[Date Signed] (Date):

Subscribed and sworn to before me, a Notary Public, this        day of         ,20.

[Notary Public Name]

Notary Public Commission Number:                      

My Commission Expires:                         

[Notary Seal]

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