Affidavit of Loan Payment Format
I, [YOUR NAME], residing at Columbus, OH 43215, do hereby solemnly affirm under oath and declare the following facts are true and correct to the best of my knowledge and belief. This affidavit is made to confirm the repayment of the loan as described below.
II. Loan Details
The loan in question is described as follows:
Loan Attribute | Details |
|---|
Loan Account Number | 123456789 |
Borrower Name | Jean Harris |
Lender Name | GazeGuru Finance Co. |
Loan Origination Date | January 15, 2050 |
Loan Amount | $50,000.00 |
The terms of repayment were agreed upon as per the original loan agreement signed on January 15, 2050.
III. Payment Confirmation
I hereby affirm that the following payments have been made toward the above loan:
Payment Date | Amount Paid | Payment Method | Reference Number |
|---|
March 10, 2051 | $15,000.00 | Bank Transfer | TRF20510310 |
June 20, 2051 | $20,000.00 | Check | CHK20510620 |
September 15, 2051 | $15,000.00 | Bank Transfer | TRF20510915 |
As of this affidavit, the total amount of $50,000.00 has been paid in full.
IV. Declaration of Truthfulness
I declare under penalty of perjury under the laws of the jurisdiction of Ohio that the foregoing is true and correct. This affidavit is executed on December 1, 2051.
Prepared by:
[YOUR NAME]
[YOUR EMAIL]
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