General Affidavit California

State of California
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]

State of California
County of ___________________

Subscribed and sworn to (or affirmed) before me on this ______day of _______________, 20_____, by ____________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.


Signature ______________________________________ (Seal)



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