I, [Your Name], residing at 123 Elm Street, Springfield, IL, 62701, hereby affirm under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief.

1. Landlord Information

Name: Mary L. Johnson
Address: 456 Oak Avenue, Springfield, IL, 62702
Phone Number: (555) 123-4567
Email Address: maryjohnson@rentalco.com

2. Tenant Information

Name: Jane Doe
Current Address: 789 Pine Lane, Springfield, IL, 62703
Lease Start Date: January 1, 2048
Lease End Date: December 31, 2050

3. Property Information

Rental Property Address: 101 Maple Drive, Springfield, IL, 62704
Monthly Rent Amount: $1,500
Security Deposit Held: $3,000

4. Rental Payment Record

The tenant has consistently made timely monthly rental payments with no outstanding rent due as of the date of this affidavit. Payments have been made via electronic transfer, and all transactions are documented in the attached records.

5. Condition of the Property

The rental property has been maintained in a clean and well-kept condition. There have been no significant damages beyond ordinary wear and tear during the tenant’s occupancy.

6. Additional Notes

The tenant has been an exemplary renter, with no complaints or issues raised during the lease period.

Declaration

I, [Your Name], affirm that the information provided above is true, accurate, and complete to the best of my knowledge and belief.

Signature Section

Affiant
Date: December 26, 2050

Notary Section

State of: Illinois
County of: Sangamon

Subscribed and sworn to (or affirmed) before me on this 26th day of December 2050, by [Your Name], who provided satisfactory evidence of identity and affirmed the accuracy of the statements herein.

Notary Public

Notary Public, State of Illinois
My Commission Expires: December 31, 2052

Affidavit Templates @ Template.net