Fillable Affidavit Form STATE OF NEVADA DEPARTMENT OF BUSINESS (Nevada Real Estate Division)

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Affidavit Form STATE OF NEVADA DEPARTMENT OF BUSINESS (Nevada Real Estate Division)

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND
INDUSTRY
REAL ESTATE DIVISION
Administrative Office
Affidavit
Form
09/25/09 652
STATE OF NEVADA
County of _________________________________
Affidavit of _______________________________________
Date _____________________________________________
Time Taken _______________________________ O’Clock
City __________________________ State ___________
___________________________________________________________________________________deposes and says:
Name
I freely and voluntarily give this affidavit to ___________________________________________________________who
is known to me as _____________________________________________________for the Nevada Real Estate Division.
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09/25/09 652
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(Use additional pages if necessary)
I have read the foregoing affidavit consisting of ____ pages, and it is true and correct to the best of my knowledge and belief.
I AGREE THAT IF REQUESTED BY THE NEVADA REAL ESTATE DIVISION, I WILL VOLUNTARILY APPEAR AS A
WITNESS IN ANY PROCEEDING RELATING TO THE ABOVE MATTER WITHOUT THE NECESSITY OF BEING SERVED
WITH A SUBPOENA.
Subscribed before me this _________________ day of
_______________________________, 20_____ in the
County of ___________________________________
State of _____________________________________,
___________________________________________
Signature of Notary
____________________________________________________
Signature
Name _______________________________________________
Address _____________________________________________
____________________________________________________
City State Zip
Area Code ______ Phone _______________________________
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Affidavit Form STATE OF NEVADA DEPARTMENT OF BUSINESS (Nevada Real Estate Division)

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Completed 28 December 2021

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