Affidavit of Payment of Outstanding Debt
I, [YOUR NAME], residing at Irving, TX 75038, solemnly declare and affirm under oath that the following statements are true and correct to the best of my knowledge. This affidavit serves as evidence that the specified debt obligation has been fully settled.
II. Details of the Debt
Creditor Name: JoliVent Financial Services
Creditor Address: Winston-Salem, NC 27101
Debt Description: Personal Loan Account #123456789
Total Amount Paid: $15,000
Payment Date: March 15, 2052
III. Declaration of Payment
I hereby declare that the aforementioned debt has been fully paid as of March 15, 2052. The payment was made via bank transfer (Confirmation #987654321) to the creditor’s designated account. This payment fulfills all financial obligations associated with the referenced loan.
IV. Acknowledgment by Creditor
Creditor Representative | Title | Acknowledgment Date |
|---|
Baby Bartell | Account Manager | March 20, 2052 |
This acknowledgment serves as confirmation that the debt has been cleared in its entirety.
I affirm under penalty of perjury that the above statements are true.

Prepared By: [YOUR NAME]
Contact Email: [YOUR EMAIL]
Signed on: March 21, 2052
Notarized on: March 22, 2052
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