Free California Affidavit of Payment Template
California Affidavit of Payment
I. Introduction
This California Affidavit of Payment is provided as a sworn statement by the undersigned, confirming the payment of a specified financial obligation as of the date noted. The document serves as evidence of payment, which may be required for legal or transactional purposes.
II. Payment Details
The following details outline the payment that has been made:
|
Item/Service Paid For |
Amount Paid |
Payment Date |
Recipient Name/Organization |
|---|---|---|---|
|
Construction Services |
$15,000.00 |
October 15, 2050 |
BluCurrent Construction Inc. |
|
Equipment Lease Payment |
$5,500.00 |
November 5, 2050 |
CodeLoop Equipment Rentals |
|
Tax Payment |
$2,000.00 |
December 1, 2050 |
California State Tax Agency |
III. Affiant Information
The undersigned, the affiant, certifies under oath that the following details are true and correct:
-
Affiant Name: Tracey Gleason
-
Affiant Address: Fresno, CA 93701
-
Affiant Phone Number: 222 555 7777
-
Affiant Email Address: tracey@you.mail
IV. Conclusion
This affidavit confirms that all payments listed above have been made in full and are accurately documented as of the respective payment dates. Any further inquiries regarding these payments can be directed to the undersigned.
