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Personal Affidavit

County of 

Affidavit of 

Address 

I, ___________________________________________, voluntarily give this affidavit to _________________________________ who is known to me as an Investigator for ______________________.

I declare that, _________________________________________________________________________________

I have read the foregoing affidavit and under penalty of perjury, certify that it is true and correct to the best of my knowledge.

Officer 

  Signed 

Witness 

Date 

Page No. __________ of a ___________________ page affidavit.