GENERAL AFFIDAVIT
State of __________________
County of _________________
Before the undersigned, an officer duly commissioned by the
laws of
____________, on this_____day of
_____________, 20____, personally
appeared ______________________________ who having been first duly
sworn depose and say:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Witness:________________ _______________________________
Sworn and subscribed before me this ___day of
___________A.D. 20__
__________________________
__________________________
