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AFFIDAVIT OF IDENTITY - INDIVIDUAL
Print Name
)
State of
)
)
)
County of
Affiant,
, being first duly sworn on his/her oath, states
and acknowledges that (s)he
that (s)he is familiar with
is one in the same person as
, who is also known as
and
.
Affiant Signature before Notary Public
This instrument was acknowledged before me on
Date
by
.
Name of Person(s)
Signature of notarial officer
My commission expires:
Month, Day, Year
Notary Stamp