AFFIDAVIT OF IDENTITY - INDIVIDUAL
State of
County of
)
)
)
)
Affiant, , being first duly sworn on his/her oath, states
that (s)he is familiar with and acknowledges that (s)he
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
by
Date
Name of Person(s)
.
Signature of notarial officer
My commission expires:
Month, Day, Year
Notary Stamp
Print Name