STATE OF _________________
COUNTY OF _______________
Personally came and appeared before me, the undersigned authority in and for the jurisdiction aforesaid, the undersigned, ______________________, who, after being duly sworn on oath, states that he/she is one and the same person as __________________________________________________.
Witness my signature this ___ day of ____________, 20____ .
Sworn and subscribed before me this ___ day of ___________, 20___ .
My commission Expires: _______________________________
State Specific Affidavit Forms
—-For State Specific Affidavit Forms you can download in Word Format go to