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Text File  |  1996-09-03  |  845b  |  30 lines

  1.  
  2.                         GENERAL AFFIDAVIT
  3.  
  4. State of __________________
  5.  
  6. County of _________________
  7.  
  8. Before the undersigned, an officer duly commissioned by
  9. the laws of ____________, on this_____day of _____________,
  10. 19____, personally appeared ______________________________
  11. who having been first duly sworn depose and say:
  12. __________________________________________________________
  13. __________________________________________________________
  14. __________________________________________________________
  15. __________________________________________________________
  16.  
  17. Witness:________________   _______________________________
  18.  
  19.  
  20. Sworn and subscribed before me this ___day of ___________
  21. A.D. 19__
  22.  
  23.                                 __________________________
  24.  
  25.                                 __________________________
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