AFFIDAVIT — Starter Template
Provided free by Thistlegate Notary Office. This is a starting point, not legal advice.
Bring this form UNSIGNED to your appointment — it must be signed in front of the notary.

STATE OF ____________________        COUNTY OF ____________________

I, ________________________________________ [full legal name], of
________________________________________ [address], being duly sworn, depose and state:

1. I am over the age of eighteen and competent to make this affidavit of my own
   free will.

2. The facts stated here concern: ________________________________________
   ________________________________________________________________________

3. ________________________________________________________________________
   ________________________________________________________________________
   ________________________________________________________________________

4. I make this affidavit to confirm the above facts for: ____________________
   ________________________________________________________________________

FURTHER AFFIANT SAYETH NAUGHT.

________________________________________
Signature of Affiant                      Date: ____________________

Printed name: ____________________________
Phone: ____________________  Email: ____________________

--- FOR THE NOTARY (do not complete in advance) ---
Sworn to and subscribed before me on ____________________ [date]
by ____________________ [affiant], who proved identity by ____________________.

________________________________________
Notary Public — Signature & Seal
Commission expires: ____________________