RENTAL VEHICLE AFFIDAVIT
I, [Your Name], of Durham, NC 27701, hereby affirm and declare the following regarding the rental vehicle described below:
Rental Company Name: Car Rentals
Vehicle Make and Model: 2050 Toyota Camry
Vehicle Identification Number (VIN): 1HGBH41JXMN109186
Rental Agreement Number: 987654321
Rental Start Date: October 1, 2055
Rental End Date: October 15, 2055
I affirm that the information provided above is true and accurate to the best of my knowledge. This affidavit is made to file a claim with my insurance company regarding an incident that occurred during the rental period.
Signature and Notarization
Signed on this day October 21, 2055, at Durham, NC 27701.
[Your Name]
Affiant
Notary Public:
Subscribed and sworn to (or affirmed) before me on this October 21, 2055, by [Your Name], who proved to me based on satisfactory evidence to be the person who appeared before me.
Notary Public
My Commission Expires: __________
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