Texas General AffidavitTexas General AffidavitTexas General Affidavit
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[FILL OUT cause number and heading information EXACTLY as it is written on the Petition]

NO. ____________________
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AFFIDAVIT
THE STATE OF TEXAS
COUNTY OF _________________________________________________
[PRINT the name of the county where this statement is being notarized.]

BEFORE ME, the undersigned authority, on this day personally appeared
_________________________________________________________________________, who
[PRINT the first and last names of the person who will sign this statement.]

swore or affirmed to tell truth, and stated as follows:
"My name is ____________________________________________________________.
[PRINT the first and last names of the person who will sign this statement.]

I am of sound mind and capable of making this sworn statement. I have personal knowledge of
the facts written in this statement. I understand that if I lie in this statement I may be held
criminally responsible. This statement is true.

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Last Update: 6-16-05

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