Michigan General Affidavit

Introduction

I, [Your Name], residing at [Your Address], in the County of [County Name], State of Michigan, do hereby depose and state the following:

Statement of Facts

1. I am a lawful resident of Michigan and currently reside at the aforementioned address.

2. On [Date], I was involved in an incident at [Address], in [City], Michigan.

3. The incident occurred due to [Description of Cause of Incident], resulting in [Description of Damage/Injury].

4. I reported the incident to the [Name of Authority] and have cooperated fully with their investigation.

5. As a result of the incident, I have incurred medical expenses totaling [Amount] and have been unable to work for [Number] days.

6. I have attached copies of medical bills and any other relevant documents as evidence of the damages incurred.

7. I am willing to testify to the veracity of the statements contained in this affidavit in any court of law if required to do so.

Declaration

I affirm that the information provided in this written affidavit is true and accurate to the best of my knowledge, and I understand that any false statements made herein may subject me to penalties under Michigan law.

Signature

[Your Name]
Affiant

Subscribed and sworn to before me this [Day] day of [Month], [Year].

[Notary Public's Name]

Notary Public, State of Michigan

My Commission Expires: [Expiry Date]

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