Date I, First Name Last Name of legal age Age (years old) , a Citizenship citizen, located at Street Address Address Line 2 City State Zip , after having been duly sworn to law, do hereby say:
I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal purpose this may serve.IN WITNESS WHEREOF, I hereby affix my signature this Date in Location .Signature Affiant First Name Affiant Last Name Date Signed