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GENERAL AFFIDAVIT
Commonwealth of Pennsylvania
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]
Commonwealth of Pennsylvania
County of ________________
On this, the _____ day of _________________, 20____, before me
________________________________, the undersigned officer,
personally appeared
________________________________,
known to me (or satisfactorily proven) to be the person(s) whose
name(s) is/are subscribed to the within instrument, and acknowledged
that ________________________________ executed the same for the
purposes therein contained.
In witness whereof, I hereunto set my hand and official seals.
________________________________
________________________________
Title of Officer
(Typical legal consultation: $79–$149)
