AFFIDAVIT PAGE 1
CAO CvPi 4-17x 07/01/2016
Full Name of Party Filing Document
Mailing Address (Street or Post Office Box)
City, State and Zip Code
Telephone
Email Address (if any)
IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF
,
Plaintiff,
vs.
,
Defendant.
Case No.
AFFIDAVIT
I, ________________________________, certify:
I am the Plaintiff Defendant in the above-entitled action.
AFFIDAVIT PAGE 2
CAO CvPi 4-17x 07/01/2016
CERTIFICATION UNDER PENALTY OF PERJURY
I certify under penalty of perjury pursuant to the law of the State of Idaho that the
foregoing is true and correct.
Date:
Typed/printed Signature
AFFIDAVIT PAGE 3
CAO CvPi 4-17x 07/01/2016
CERTIFICATE OF SERVICE
I certify that on (date) I served a copy to: (name all parties in the case other than
yourself)
(Name)
(Street or Post Office Address)
(City, State, and Zip Code)
By United States mail
By personal delivery
By fax (number)
(Name)
(Street or Post Office Address)
(City, State, and Zip Code)
By United States mail
By personal delivery
By fax (number)
Typed/printed name
Signature