Common Law Affidavit

STATE OF [State]
COUNTY OF [County]

I, [Your Name], being duly sworn, depose and state as follows:

Statement of Facts

1. I am over the age of eighteen (18) years and am competent to make this affidavit.

2. I am a resident of [City], [State], and have personal knowledge of the facts stated herein.

3. I am the plaintiff in the matter of [Case Name], pending in the [Court Name], docket number [Docket Number].

4. The defendant in this case, [Defendant's Name], resides at [Defendant's Address], and is personally known to me.

5. On [Date], at approximately [Time], while driving my vehicle, a [Make and Model of Vehicle], along [Street Name], I obeyed all traffic la ws and signals.

6. At the intersection of [Intersection Name], the defendant, [Defendant's Name], operating their vehicle, a [Make and Model of Defendant's Vehicle], negligently ran a red light and collided with my vehicle.

7. As a result of the collision, my vehicle sustained significant damage, and I suffered injuries including but not limited to whiplash, contusions, and emotional distress.

8. The negligent actions of the defendant have caused me physical, emotional, and financial harm, resulting in medical expenses, lost wages, and pain and suffering.

9. I have attached copies of relevant documents, including photographs of the accident scene, medical bills, and repair estimates, as Exhibits A, B, and C, respectively, to support the facts stated herein.

Sworn Oath

I declare under penalty of perjury under the laws of the State of [State] that the foregoing is true and correct to the best of my knowledge and belief.

Signature

[Your Name]
Affiant

Sworn to and subscribed before me on this [Day] day of [Month], [Year].

[Notary Public's Name]
[Notary Public's Commission Number]

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