Affidavit of Loan Payment Format

I, [YOUR NAME], residing at Columbus, OH 43215, do hereby solemnly affirm under oath and declare the following facts are true and correct to the best of my knowledge and belief. This affidavit is made to confirm the repayment of the loan as described below.

II. Loan Details

The loan in question is described as follows:

Loan Attribute	Details
Loan Account Number	123456789
Borrower Name	Jean Harris
Lender Name	GazeGuru Finance Co.
Loan Origination Date	January 15, 2050
Loan Amount	$50,000.00

The terms of repayment were agreed upon as per the original loan agreement signed on January 15, 2050.

III. Payment Confirmation

I hereby affirm that the following payments have been made toward the above loan:

Payment Date	Amount Paid	Payment Method	Reference Number
March 10, 2051	$15,000.00	Bank Transfer	TRF20510310
June 20, 2051	$20,000.00	Check	CHK20510620
September 15, 2051	$15,000.00	Bank Transfer	TRF20510915

As of this affidavit, the total amount of $50,000.00 has been paid in full.

IV. Declaration of Truthfulness

I declare under penalty of perjury under the laws of the jurisdiction of Ohio that the foregoing is true and correct. This affidavit is executed on December 1, 2051.

Prepared by:
[YOUR NAME]
[YOUR EMAIL]

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