Non-Prosecution Affidavit Form
Affiant Information
I, [Your Name], residing at Jefferson, OR 97352, do hereby swear and affirm the following information is true and accurate to the best of my knowledge and belief.
Incident Description
On July 15, 2050, an incident occurred at Jefferson, OR 97352, involving Roger Stark and Valerie King. The nature of the incident was a minor altercation that led to a brief verbal dispute between the parties involved.
Non-Prosecution Statement
I do hereby state and affirm that I do not wish to pursue any criminal charges or prosecution against Roger Stark and Valerie King. I have come to this decision voluntarily, without any undue influence, coercion, or duress. I understand the implications of this decision, including the fact that this may result in the cessation of any investigation or legal action regarding the incident described above.
Legal Understanding
I acknowledge that I understand my rights and have been informed of the potential consequences of signing this affidavit. I have had the opportunity to consult with legal counsel and have done so of my own accord. My decision to not pursue prosecution is made with a full understanding of these rights and consequences.
Affiant's Signature
I, [Your Name], do hereby swear and affirm that the foregoing statements are true and accurate to the best of my knowledge and belief. I understand that providing false information in this affidavit is punishable under law.
[Your Name]
Date: July 16, 2050
Notary Public
Sworn to and subscribed before me this 16th day of July 2050.
Notary Public
My Commission Expires: July 16, 2050
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