North Carolina General Affidavit

STATE OF NORTH CAROLINA
COUNTY OF [County Name]

Introduction:

Before me, the undersigned Notary Public, on this day personally appeared [YOUR NAME], who being duly sworn, deposes and says:

Statement of Facts:

1. Identification of Affiant:

   • Name: [Affiant’s Full Name]

   • Address: [Affiant’s Full Address]

   • Date of Birth: [DOB]

   • Identification Number: [Driver’s License/State ID/Passport Number]

2. I, [YOUR NAME], hereby declare and affirm the following facts under the penalty of perjury:

3. I am the legal holder in possession of the document titled [Document Title], dated [Document Date], and related to [Brief Description of the Document or Information's Purpose].

4. I affirm that to the best of my knowledge and belief, the document is authentic and the information contained within, as submitted to [Name of the Government Agency], is accurate and true.

5. This affidavit is executed for the purpose of verifying the authenticity of the above-mentioned document and the accuracy of the information provided to [Name of the Government Agency] for personal information and circumstances for the purpose of updating my driver's license records with the Department of Motor Vehicles.

Acknowledgment:

I understand that providing false information within this affidavit constitutes an offense under the laws of the State of North Carolina, and I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.

Executed on this [DAY] of [MONTH], [YEAR], in the County of [County Name], State of North Carolina.

Signature:

[YOUR NAME]

Subscribed and sworn to (or affirmed) before me on this [DAY] of [MONTH], [YEAR], by [YOUR NAME].

[Notary Public’s Printed Name]

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