Free Sworn Statement Template: Notarized Declaration, Facts & Signature
Create a professional sworn statement (affidavit) for legal proceedings, insurance claims, financial verification, or administrative requirements.
Fill in the Form
1. "Declarant Information"
2. "Statement of Facts"
Insert numbered list of facts being declared.
3. "Purpose of Statement"
5. "Execution"
6. "Notary / Authorized Officer Acknowledgment"
Preview
"I," [Full Legal Name], "of" [Full Address], "being duly sworn, do hereby declare and state under oath the following:"
1. "Declarant Information"
- Full Name: [Full Legal Name]
- Date of Birth: [MM/DD/YYYY]
- Address: [Full Address]
2. "Statement of Facts"
"I affirm the following facts to be true and accurate to the best of my knowledge:"
- [Insert numbered list of facts being declared.]
3. "Purpose of Statement"
"This sworn statement is provided for the purpose of" [Describe reason, e.g., legal proceedings, insurance claim, financial verification, administrative requirement].
4. "Affirmation"
"I declare under oath and penalty of perjury that the facts stated herein are true and correct. I understand that false statements may result in criminal or civil liability."
5. "Execution"
"Executed this" [Day] of [Month, Year] "at" [City, State/Country].
Declarant Signature: _______________________________
Printed Name: [Name]
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