GENERAL AFFIDAVIT
State of ………………
Country of ……………..
Before the undersigned, an officer duly commissioned by the laws of …………, on this…..day of …………., 20…., individually seemed ………………………… who having been first duly sworn depose and say:
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Witness:……………. ………………………….
Sworn and subscribed before me this …day of ………..
A.D. 20..
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