General affidavit form for use within Pennsylvania. Modify this affidavit to meet your specific needs.Complete the notarization properly. A sample of a completed affidavit is found below. Use the form with the boxes to guide you through filling out the blank form. Our packs of specialized medical and guardianship forms are only available through PAN. This Affidavit is executed in accordance with City of Philadelphia Department of Records. Regulation No. 2. 2. The affiant's signature must be notarized for legal validity. The notary public's information, including their name, commission expiration date, and seal.