Free Affidavit of Repudiation Form Template

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Free Affidavit of Repudiation Form Template

Affidavit of Repudiation Form

I, [Your Name], residing at [Your Address], being of legal age and competent to make this affidavit, declare under penalty of perjury the following:

AFFIANT INFORMATION

Name

    Contact Number

      Subject of Repudiation

      I hereby repudiate:

        • A contractual obligation

        • A financial responsibility

        • A legal claim

        • A familial relationship

        Specific Details of Repudiation

        Provide a clear and detailed explanation of what is being repudiated.

          Reason for Repudiation

          State why you are repudiating the obligation or claim.

            NOTICE TO INVOLVED PARTIES

            I acknowledge that this repudiation may affect my legal rights and obligations. I affirm that notice of this repudiation will be sent to all necessary parties as required by law.

            AFFIRMATION & SIGNATURE

            I declare under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge. I understand that this repudiation may have legal consequences and that I have the right to seek legal counsel before proceeding.

            Name:

            Date:

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