Sample Sworn Statement Affidavit

Introduction

I, [Your Name], of legal age, duly sworn, hereby depose and state as follows:

Affiant's Personal Information

• Name: [Your Name]

• Address: Wilbraham, MA 01095

• Phone Number: 222 555 7777

• Email: [Your Email]

Statement of Facts

1. I am the spouse of Sheri Landry, and I have personal knowledge of the facts stated herein.

2. On August 15, 2050, at approximately 9:00 AM, the following events occurred: Sheri Landry and I were driving to the grocery store when we witnessed a car accident at the intersection of Maple Street and Oak Avenue. A blue sedan, driven by an unknown individual, ran a red light and collided with a white SUV. The SUV was pushed into a nearby utility pole, causing significant damage to the vehicle and the pole.

3. These statements are true to the best of my knowledge and belief.

Purpose of Affidavit

This affidavit is being submitted for the purpose of verifying the events described above, and to be used as evidence in a court of law in relation to any legal proceedings that may arise from the car accident.

Supporting Evidence

The following documents are attached and incorporated by reference herein as supporting evidence for this affidavit:

1. Photographs of the accident scene - showing the position of the vehicles and the damage sustained.

2. Police Report - detailing the initial findings of the responding officers.

3. Witness Statement - from another individual who also observed the accident.

Declaration

I hereby declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.

Signature

[Your Name]

Date: August 16, 2050

Notary Public

Subscribed and sworn to (or affirmed) before me on this 16th day of August 2050, by [Your Name], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

Notary Public

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