Affidavit of Dispute Form
I, [Your Name], residing at [Your Address], being of legal age and competent to make this affidavit, declare under penalty of perjury the following:
AFFIANT INFORMATION
SUBJECT OF DISPUTE
Parties Involved in the Dispute
Name | Relationship to Dispute | Contact Information |
|---|
| | |
| | |
| | |
STATEMENT OF DISPUTE
I, [Your Name], hereby dispute the claim, obligation, or matter described above. I affirm that I have made a good-faith effort to resolve this dispute and that the statements made in this affidavit are true and correct to the best of my knowledge.
AFFIRMATION & SIGNATURE
Name:
Date:
Witness 1 Signature:
Name:
Date:
Witness 2 Signature:
Name:
Date:
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