[Your Name]
Notary Public ID: [Your Notary ID]
Contact Information: [Your Contact Number]
[Affiant's Name]
Address: [Affiant's Address]
Contact Information: [Affiant's Contact Number]
Description of Forged Documents/Items: Counterfeit check with serial number XYZ123
Details about When and Where the Forgery Was Discovered: Discovered on April 1, 2050, at ABC Bank, Anytown, USA, during a routine account review.
"I, [Affiant's Name], solemnly swear/affirm that the statements made in this affidavit are true and correct to the best of my knowledge. I further declare under penalty of perjury that the forgery detailed above was not committed by me, and I am the victim of such said forgery."
I, [Your Name], a Notary Public for the State of [Your State], do hereby certify that on April 11, 2050, [Affiant's Name] personally appeared before me and verified the above statements relating to the alleged forgery event under penalty of perjury.
Notary Public
My Commission Expires On: [Expiry Date]
[Insert Your Digital Seal or Stamp Here if Applicable]
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