Fillable AFFIDAVIT (Printed Name) (Putnam County Tennessee)

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AFFIDAVIT (Printed Name) (Putnam County Tennessee)

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U.S.A. forms for Putnam County Tennessee

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AFFIDAVIT
Comes the Affiant _______________________________________________________________
(Printed Name)
Under penalties of perjury who, being duly sworn, deposes and says, to wit as follows:
Further Affiant Saith Not
_____________________________________________
Signature of Affiant
ACKNOWLEDGMENT
State of Tennessee
County of ____________________________
On this __________________ day of ___________________, 20________, before me personally
appeared_______________________________________________________________________
to me known to be the person described in and who executed the foregoing instrument, and
acknowledged that he/she executed the same as his/her free act and deed, for the purposes therein
set forth.
_______________________________________
(County Clerk) (Notary Public)
My Commission Expires _________________________________________, 20______________
RV-F1311001 (7-12)
RDA 692
State of Tennessee
Department of Revenue
Vehicle Services Division
44 Vantage Way, Suite 160
Nashville, Tennessee 37243-8050
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AFFIDAVIT (Printed Name) (Putnam County Tennessee)

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Completed 18 July 2020

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