Get Affidavit Attesting

AFFIDAVIT ATTESTING TO CLAIMANT S IDENTITY STATE OF Claim Number COUNTY OF BEFORE ME this day personally appeared 1 and 2 who being first duly sworn state as follows 1. We are submitting this sworn statement in connection with the unclaimed property claim filed by hereinafter Claimant. We have personal knowledge of Claimant are familiar with the circumstances of Claimant personally know and have personally observed Claimant have experience in dealing with Claimant on a daily basis or as a family member and know Claimant to be the person named as Claimant in the claim documents. The address of Claimant is 2. It is our belief that Claimant does not possess a driver s license or other photographic identification issued by the United States a state or territory of the United States a foreign nation or a political subdivision or agency thereof* obtain any of the forms of identification specified herein because 3. We have no financial interest in the unclaimed property being claimed* Affiant 1 Signature Address Birth date month day year Sworn to and subscribed before me this day of 20 by Affiants Signature of Notary Public Print Type or Stamp Commissioned Name of Notary Public Address of Notary City County State ZIP Code Notary must identify the type of government issued photographic identification produced that verifies Affiants names and dates of birth as stated on this form above. Type of identification shown to Notary by Affiant such as a drivers license state identification card passport or other similar valid government issued photographic Form DFS-A4-1944 Effective 10-13-10 incorporated into Rule 69I-20. We are submitting this sworn statement in connection with the unclaimed property claim filed by hereinafter Claimant. We have personal knowledge of Claimant are familiar with the circumstances of Claimant personally know and have personally observed Claimant have experience in dealing with Claimant on a daily basis or as a family member and know Claimant to be the person named as Claimant in the claim documents. We have personal knowledge of Claimant are familiar with the circumstances of Claimant personally know and have personally observed Claimant have experience in dealing with Claimant on a daily basis or as a family member and know Claimant to be the person named as Claimant in the claim documents. The address of Claimant is 2. It is our belief that Claimant does not possess a driver s license or other photographic identification issued by the United States a state or territory of the United States a foreign nation or a political subdivision or agency thereof* obtain any of the forms of identification specified herein because 3. The address of Claimant is 2. It is our belief that Claimant does not possess a driver s license or other photographic identification issued by the United States a state or territory of the United States a foreign nation or a political subdivision or agency thereof* obtain any of the forms of identification specified herein because 3. We have no financial interest in the unclaimed property being claimed* Affiant 1 Signature Address Birth date month day year Sworn to and subscribed before me this day of 20 by Affiants Signature of Notary Public Print Type or Stamp Commissioned Name of Notary Public Address of Notary City County State ZIP Code Notary must identify the type of government issued photographic identification produced that verifies Affiants names and dates of birth as stated on this form above.