General Affidavit: Sworn Statement of Fact (Free Template)

STATE OF [STATE]                    )
                                    )  ss.
COUNTY OF [COUNTY]                  )


                            GENERAL AFFIDAVIT
                  (Sworn Statement of Fact, with Federal
                   Alternative Under 28 U.S.C. Section 1746)


In the matter of: [Identify the proceeding, claim, transaction,
or institutional process to which this Affidavit pertains;
e.g., "Cause No. ____, [Court]"; "Claim No. ____, [Insurer]";
"Sale of [Property]"; or "Standalone sworn statement, no
underlying proceeding"].


    BEFORE ME, the undersigned authority, on this day personally
appeared [Affiant Full Legal Name] (the "Affiant"), who, being
by me first duly sworn upon oath, deposed and stated as follows:


    1.  AFFIANT QUALIFICATIONS. Affiant's full legal name is
        [Affiant Full Legal Name]. Affiant resides at [Affiant
        Street Address, City, State, ZIP]. Affiant is over the
        age of eighteen (18) years and competent to testify to
        the facts stated herein.

    2.  PERSONAL KNOWLEDGE. The facts stated in this Affidavit
        are within Affiant's personal knowledge. Affiant
        acquired that knowledge by [direct observation /
        personal involvement in the transaction or event /
        receipt and review of business records that Affiant is
        custodian of / other: ______________]. Where any
        statement below is made on information and belief
        rather than personal knowledge, that statement is
        expressly so identified within the paragraph in which
        it appears.

    3.  RELATIONSHIP TO THE MATTER. Affiant's relationship to
        the matter identified in the caption above is: [Party
        to the proceeding / Officer or employee of [Entity] /
        Records custodian for [Entity] / Fact witness with no
        financial interest / Owner of the property / Holder of
        the right at issue / Other: ______________]. Affiant
        does / does not have a financial interest in the
        outcome of the matter described in the caption.

    4.  FACTUAL STATEMENTS. Affiant states the following facts:

        4.1  [State the first fact in declarative form. One
             discrete fact per numbered sub-paragraph. Avoid
             argumentative or conclusory language; affidavits
             that include legal argument or conclusions of
             law instead of facts are routinely stricken or
             given no weight.]

        4.2  [State the second fact.]

        4.3  [State the third fact.]

        4.4  [State the fourth fact.]

        4.5  [State the fifth fact.]

        4.6  [Add additional numbered sub-paragraphs as
             required. Each numbered sub-paragraph should
             state a single, narrow, fact-based proposition
             that, standing alone, would be admissible as
             testimony at trial under the applicable rules of
             evidence.]

    5.  DOCUMENTS REFERENCED. The following documents are
        referenced in this Affidavit and, where applicable,
        attached as exhibits and incorporated by reference:

            Exhibit A:  [Title and date of document]
            Exhibit B:  [Title and date of document]
            Exhibit C:  [Title and date of document]
            (Add additional exhibits as required.)

        Affiant attests that the attached exhibits are true
        and correct copies of the originals (or, where the
        original is not available, the best available copy)
        and have not been altered other than for redaction of
        information not relevant to the matter, which
        redactions are noted on the face of the document.

    6.  PURPOSE OF THIS AFFIDAVIT. Affiant executes this
        Affidavit for the purpose of [identify the receiving
        court, agency, insurer, institution, or counter-party
        and the use to be made of the Affidavit].


    FURTHER AFFIANT SAYETH NAUGHT.


    Executed on this ____ day of ________________, 20____.


                                ____________________________________
                                AFFIANT
                                [Affiant Full Legal Name]
                                [Affiant Street Address]
                                [City, State, ZIP]
                                [Telephone / Email]


PENALTY-OF-PERJURY DECLARATION (Federal Alternative).
For use when this statement is submitted in a federal court
proceeding or to a federal agency that accepts an unsworn
declaration in lieu of a sworn affidavit. Pursuant to 28 U.S.C.
Section 1746, Affiant declares under penalty of perjury under
the laws of the United States of America that the foregoing is
true and correct.

    Executed on _______________ at _______________________.


                                ____________________________________
                                DECLARANT
                                [Affiant Full Legal Name]

    (When the federal-alternative declaration is used, the
    notary jurat below may be omitted. When the Affidavit is
    being submitted to a state court or to a private party that
    requires a notarized affidavit, complete the jurat below.)


                          JURAT / NOTARY ACKNOWLEDGMENT


STATE OF ______________________ )
                                ) ss.
COUNTY OF _____________________ )

    Sworn to and subscribed before me by [Affiant Full Legal Name]
on this ____ day of ________________, 20____, who is personally
known to me OR produced ______________________________ as
identification, and who being duly sworn deposed that the
statements in the foregoing Affidavit are true and correct of
the Affiant's own personal knowledge (except as to any matters
stated on information and belief, and as to those, that Affiant
believes them to be true).


                                ____________________________________
                                NOTARY PUBLIC, State of __________

                                Printed Name: ______________________

                                My Commission Expires: _____________

                                Notary Seal:




EXHIBITS:
    Exhibit A:  [Title and date of document]
    Exhibit B:  [Title and date of document]
    Exhibit C:  [Title and date of document]
    (Add additional exhibits as required, mirroring the list
    in Paragraph 5.)