Florida Affidavit Form

State of FLORIDA

County of _______________

The foregoing instrument was acknowledged before me this _____

day of _____________ 20___ by _________________________

_____________________________________________

for

____________________________________________________.

He/she is q personally known to me or q produced a

__________________________ as identification, regarding the

attached instrument described as ___________________________

_____________________________________________________

and to whose signature this notarization applies.

________________________________

notary public signature

(SEAL)

________________________________

notary public printed name

FL-2041-ACK

provides this form pursuant to Florida Statutes §117.05(13)(c)

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Parent category: Legal