Please take notice that the undersigned, having been duly sworn, deposes and states as follows:
This sworn statement aims to provide a comprehensive account of the matters at hand and to affirm the veracity of the information provided herein, witnessed and verified by an authorized entity.
Full Name | John Doe |
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Date of Birth | January 1, 2050 |
Address | 1234 Elm Street, Springfield, IL, 62704 |
Occupation | Engineer |
Date | October 1, 2053 |
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Location | 4567 Oak Street, Springfield, IL, 62704 |
Description | A motor vehicle accident involving a collision between two cars. |
Witnessed the incident firsthand.
Assisted the injured parties.
Reported the incident to local authorities.
I, [Your Name], hereby declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge. I understand that this statement will be used as part of an official investigation, and I am aware of the consequences of providing false information.
The undersigned verifies that the signature below was given before an authorized officer who witnessed the signing and confirmed the identity of the declarant.
[Witness Name]
[Date]
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