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GENERAL AFFIDAVIT
State of Florida
County of ________________
BEFORE ME, the undersigned Notary,
________________________________ [name of Notary before whom affidavit is sworn], on this _________________
[day of month] day of
_________________ [month], 20____, personally appeared
________________________________
[name of
affiant], known to me to be a credible person and of lawful age, who being by me
first duly sworn, on ________ [his or her] oath, deposes and says:
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
[set forth affiant's statement of facts]
________________________________
[signature of affiant]
________________________________
[typed name of affiant]
________________________________
[address of affiant, line 1]
________________________________
[address of affiant, line 2]
State
of Florida
County of
_________________
Sworn to (or affirmed)
and subscribed before me this _______ day of _____________, ______
(year), by ________________________________ (name of person making
statement).
________________________________
(Signature of Notary
Public - State of Florida)
________________________________
(Print, Type, or Stamp
Commissioned Name of Notary Public)
Personally Known
___________ OR Produced Identification ___________
Type of Identification
Produced ________________________________
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