4. Write the case Index Number. 5. Enter the county where the affidavit is notarized. 6.On the _______day of ______ in the year_____, before me, the undersigned notary public, personally appeared. INSTRUCTIONS: Answer ALL questions. Strike out words or sentences not applicable. Simpler, smarter, safer. I affirm and certify the information provided in this affidavit is true and correct. What you get: Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings. Notarize a document from Nassau in a matter of minutes.