MICHIGAN GENERAL AFFIDAVIT
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GENERAL AFFIDAVIT
State of Michigan
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]
Subscribed and sworn to before me, this _________________ [day of month] day of
_________________ [month], 20____.
[Notary Seal:]
__________________________________
[signature of
Notary]
__________________________________
[typed name of
Notary]
NOTARY PUBLIC
My commission expires:
________________, 20____.
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