General Affidavit

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GENERAL AFFIDAVIT
State of
_Florida____
County of
__________________
Before the undersigned, an officer duly commissioned by the laws
of Florida
, on this _________ day of _____________________,
20
, personally appeared
who having been first duly sworn depose and say:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Witness: ______________________________________________________
Signature: __________________________________ Date: _____________
Telephone number: (
) _______________________________________
Subscribed and Sworn to before me this ____________ day of ________________, 20 _____
Notary Seal :
______________________________________________
(Notary Public Signature)
_______________
________________________________________
State
Commission Expires

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