General Affidavit

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Affiant Information

I, [Your Name], residing in Houston, MO 65483, with identification document number 123456789, hereby declare under oath the following statements to be true and accurate to the best of my knowledge and belief.

Statement of Facts

1. I am 35 years old and have personal knowledge of the facts stated herein. I am competent to testify to these matters if called upon to do so.

2. On August 10, 2050, at approximately 3:00 PM, the following events occurred: While driving northbound on Main Street, I observed a blue sedan swerving between lanes. The vehicle then collided with a parked car on the side of the road.

3. The individuals involved in the aforementioned events were: Jane Smith (driver of the blue sedan) and Mark Johnson (owner of the parked car).

4. I witnessed the following specific actions and events: The blue sedan, driven by Jane Smith, swerved abruptly before striking the rear of Mark Johnson's parked vehicle. Immediately after the collision, Jane Smith exited her vehicle and appeared disoriented.

Additional Documentation

Attached hereto are true and accurate copies of the following documents supporting this affidavit: Exhibit A (Photographs of the accident scene), Exhibit B (Police report), and Exhibit C (Witness statement by Mark Johnson).

Certifications

I certify that the statements made in this affidavit are true and correct to the best of my knowledge. I understand that making false statements in this document could subject me to penalties for perjury.

Signature

Signed this 15th day of August 2050, in Houston, MO.

[Your Name]
Affiant

Notary Public

State of Missouri, County of Texas

Subscribed and sworn to before me this 15th day of August 2050, by [Your Name], who is personally known to me or has produced a Missouri Driver’s License as identification.

Notary Public
My commission expires: August 15, 2051

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