Affidavit Form Example
Affiant's Personal Information
● Full Legal Name:
______________________________________________________
● Date of Birth:
_________________________________________________________
● Place of Birth:
________________________________________________________
● Current Residential Address:
___________________________________________
● Phone Number:
________________________________________________________
● Email Address:
________________________________________________________
Affidavit Content
Introduction to the Affidavit
I, the undersigned, being duly sworn, depose and say:
Body of the Affidavit
● Reason for Affidavit:
__________________________________________________
Specific Details:
Conclusion and Swearing
I swear that the information provided in this affidavit is accurate and true to the best of
my knowledge and belief.
Signature: _______________________________ Date: _____________________
Witness 1 Signature: ______________________ Date: _____________________
Witness 2 Signature: ______________________ Date: _____________________
Notarization
Notary Public Signature: ___________________ Date: _____________________
My commission expires on:
_______________________________________________
Seal: