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Affidavit

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Affidavit Page of
Page of

___________________________________________________________
___________________________________________________________
(Court Level and Jurisdiction)

____________________
(Plaintiff)


____________________
(Case I.D. Number)

Plaintiff

-vs-

 

____________________
(Defendant)


 

Defendant

 

AFFIDAVIT

I, ____________________, of ____________________, in ____________________, Virginia, MAKE OATH AND SAY THAT:

  1. __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________
    __________________________________________________________________________



COMMONWEALTH OF VIRGINIA

COUNTY OF ____________________


SUBSCRIBED AND SWORN TO BEFORE ME, on the ________ day of ________________, ________


Signature _____________________________ (Seal)
NOTARY PUBLIC
My Commission expires: ______________________
   

_______________________________

(Signature)


____________________

(Name)
       

Last updated December 28, 2023

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