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Prepare legibly. 2. Submit the original to the clerk of court. Docket number (if available) Name of case (Plaintiff v. Defendant) Judicial District Address of Court (Number, street and town) Return date (if available) Your name (Affiant) Address of property at issue (Number, street, town, state, zip code) The undersigned, being duly sworn, deposes and says: 1. I am over the age of eighteen years of age and believe in the obligations of an oath. 2. I am the (job title) of (Plaintiff or.

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