I, [Client's Name], residing at [Client's Address], hereby acknowledge and consent to the representation provided by [Your Company Name], a law firm duly organized and existing under the laws of [State/Country], with its principal office located at [Your Company Address], hereinafter referred to as the "Firm," in the matter of [Case Name].

I understand that by signing this affidavit, I am voluntarily agreeing to engage the Firm to represent me in legal proceedings related to the aforementioned matter. I acknowledge that I have been informed of the nature and scope of the legal services to be provided by the Firm, and I understand the potential risks and benefits associated with such representation.

I further acknowledge that I have the right to consult with independent legal counsel of my choosing before signing this affidavit and that I have had a reasonable opportunity to do so. I have had the opportunity to ask questions and have received satisfactory answers from the Firm regarding any concerns or inquiries I may have had regarding the representation.

I understand that the Firm will act in my best interests within the bounds of the law and professional ethics and that I have the right to terminate the representation at any time, subject to any obligations under applicable law or the terms of any agreement between myself and the Firm.

I declare under penalty of perjury under the laws of [State/Country] that the foregoing is true and correct to the best of my knowledge, information, and belief.

Executed on this              day of                         ,             .

[Client's Name]

[Witness Name]

State of [State]

County of [County]

On this              day of                         ,             , before me, the undersigned notary public, personally appeared [Client's Name], known to me to be the person whose name is subscribed to the within instrument, and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by his/her signature on the instrument, the person or the entity upon behalf of which the person acted, executed the instrument.

Notary Public

My Commission Expires: [Expiry Date]

[Notary Seal or Stamp]

This affidavit is executed by the undersigned in accordance with the laws of [State/Country].

[Your Company Name]

[Authorized Signatory]

[Title]

[Date]

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