Fillable AFFIDAVIT (Town of Smithfield)

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AFFIDAVIT (Town of Smithfield)

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U.S.A. forms for Town of Smithfield

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COMMUNITY DEVELOPMENT & PLANNING DEPARTMENT
310 Institute St, PO Box 246 / Smithfield, VA 23431 / 1-(757)-365-4200 / Fax 1-(757)-357-9933
www.smithfieldva.gov
AFFIDAVIT
Under penalty of perjury, I, the undersigned affiant swear or affirm that:
The statements above are true and accurate to the best of my knowledge and belief.
_________________________________ _________________________________
NAME OF AFFIANT SIGNATURE OF AFFIANT
State of ______________ County of ________________________
Acknowledged, subscribe and sworn to before me this ______ day of _______________, 20___.
______________________ __________________________________
NOTARY REGISTRATION NUMBER NOTARY PUBLIC
My Commission expires: ______________
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AFFIDAVIT (Town of Smithfield)

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Completed 28 February 2021

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