Affidavit of Payment Confirmation
I, [YOUR NAME], residing at Denver, CO 80202, hereby confirm under oath that the payment described in this document has been made and received as detailed below. This affidavit is provided as evidence of the transaction for legal or administrative purposes.
II. Payment Details
The following table outlines the details of the payment:
Payment Amount | Date of Payment | Purpose | Reference Number |
|---|
$10,000 | February 15, 2050 | Settlement of Loan | REF-2050-12345 |
III. Declaration of Parties
Payer: Trace Durgan, located at Atlanta, GA 30301.
Payee: Rocky Orn, located at Houston, TX 77001.
This payment completes all obligations owed by the payer under the terms of Lease Agreement, dated January 1, 2050.
IV. Notarization and Verification
I declare under penalty of perjury that the information in this affidavit is true and accurate to the best of my knowledge.
Signed this March 1, 2050, at Denver, CO 80202.
[YOUR NAME]
[YOUR EMAIL]
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