Affidavit of Debt

Affidavit of Debt

Introduction

I, [YOUR NAME], being of lawful age and sound mind, hereby depose and state as follows:

Statement of Facts

  1. I am the creditor in the matter of the debt owed by [DEBTOR'S NAME], hereinafter referred to as the "Debtor."

  2. The Debtor owes a debt to me in the amount of [DEBT AMOUNT] USD, which arose from [REASON OF DEBT].

  3. The debt was incurred on or about [DATE OF DEBT INCURRENCE].

  4. Despite demands for payment, the Debtor has failed to repay the debt or make any satisfactory arrangements for repayment.

Sworn Oath

I solemnly swear under penalty of perjury that the foregoing facts are true and correct to the best of my knowledge, information, and belief.

Executed on this [DATE] day of [MONTH], [YEAR] at [LOCATION].


[YOUR NAME]

Creditor


Notarization

State of [STATE]

County of [COUNTY]

On this [DATE] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that [HE/SHE] executed the same for the purposes therein contained.

Witness my hand and official seal.


[NOTARY PUBLIC NAME]
My Commission Expires: [NOTARY EXPIRY DATE]

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