Free Sworn Statement Template

Sworn Statement


I. Introduction

In accordance with the legal protocols and requirements, [Your Name] hereby presents this Sworn Statement to attest to the veracity of the information contained herein. This document serves as a formal declaration under oath, affirming the accuracy of the facts presented to the best of [Your Name]'s knowledge and belief. It is imperative to recognize the gravity of this statement, as any falsification or misrepresentation may result in legal consequences.

II. Declarative Statements

A. Personal Information

  1. [Your Name]:

    • Full Name: [Your Name]

    • Date of Birth: [Your Date of Birth]

    • Address: [Your Address]

    • Contact Information: [Your Phone Number], [Your Email]

  2. [Your Relationship to the Case]:

    • Role: [Your Role in the Matter]

    • Connection to the Case: [Brief Description of Your Involvement]

    • Affiliation: [Any Relevant Affiliation or Position]

B. Statement of Facts

In compliance with the requirements set forth, [Your Name] solemnly affirms the following facts:

  • [Detailed description of the incident or events in chronological order.]

  • [Specific details pertaining to relevant conversations, actions, or observations.]

  • [Any supporting evidence or documentation that corroborates the stated facts.]

C. Assurance of Truthfulness

As the declarant of this Sworn Statement, [Your Name] affirms that:

  • The information provided herein is true, accurate, and complete to the best of [Your Name]'s knowledge.

  • [Your Name] understands the legal implications of providing false or misleading information.

  • [Your Name] acknowledges that any discrepancy or inconsistency may lead to legal repercussions.

III. Other Details

Item

Details

Case Number:

[Your Case Number]

Date of Incident:

[Date of Incident]

Location of Incident:

[Location of Incident]

Witnesses (if any):

[Names of Witnesses, if applicable]

Relevant Documents:

[List of Relevant Documents]

Investigating Officer:

[Name of Investigating Officer]


IV. Signature and Verification

I, [Your Name], hereby affix my signature below to attest to the truthfulness of the foregoing statements, made under penalty of perjury. By signing this Sworn Statement, I acknowledge my understanding of its contents and implications.

[Your Signature]

Date: [Date of Signing]

V. Notarization

This document was notarized at [LOCATION OF NOTARIZATION] on [DATE OF NOTARIZATION]. Notary Public: [NOTARY PUBLIC NAME]

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