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Illinois General Affidavit

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Illinois General Affidavit

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Illinois General Affidavit

STATE OF ILLINOIS

COUNTY OF

I, the undersigned, being duly sworn, do hereby depose and say:

1. I am over the age of 18 and am a resident of the state of . I have personal knowledge of the facts in this affidavit, and, if called as a witness, could testify competently about them.

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Under penalties as provided by Illinois law, the undersigned certifies that the statements set forth in this instrument are true and correct.

Executed this _____ day of ____________, 20____ in _______________________.__________.

___________________________


CERTIFICATE OF ACKNOWLEDGMENTJURAT

STATE OF ILLINOIS

COUNTY OF ____________________

This instrument was acknowledged before me on _________________, 20____, by .This instrument was acknowledged before me on _____________________, 20____, by as _________________________________________ of .Signed and sworn (or affirmed) to before me on ____________, 20___, by .


(Notary Seal)											________________________________________
											Signature of Notary Public

											________________________________________
											Printed Name

											My Commission expires: ______________

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