Free Affidavit of Claim Template

Affidavit of Claim

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], do solemnly affirm and declare as follows:

Statement of Facts

  1. I am the creditor in the matter of a loan agreement dated [DATE OF LOAN AGREEMENT] entered into between myself and the debtor, [DEBTOR'S NAME], for the sum of [LOAN AMOUNT].

  2. Under the terms of the loan agreement, the debtor was obligated to repay the loan in full by [DUE DATE]. However, as of the date of this affidavit, the debtor has failed to repay the loan in accordance with the agreement.

  3. Despite multiple demands for payment, the debtor has neglected, failed, and refused to repay the outstanding loan amount, which currently stands at [OUTSTANDING AMOUNT].

  4. Attached hereto and marked as Exhibit A is a copy of the loan agreement dated [DATE OF LOAN AGREEMENT].

Sworn Oath

I solemnly swear that the statements made in this affidavit are true and correct to the best of my knowledge, information, and belief. I understand that any false statements made herein are punishable under the law.

[YOUR NAME]

Creditor

Subscribed and sworn to before me on this [DAY] day of [MONTH], [YEAR].


Notary Public/Authorized Officer

My Commission Expires: [COMMISSION EXPIRY DATE]

[NOTARY SEAL]

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