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Sworn Statement Template: Notarized Declaration, Facts & Signature
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Sworn Statement Template: Notarized Declaration, Facts & Signature
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Sworn Statement Template
SWORN STATEMENT
I, [Full Legal Name], of [Address], being duly sworn, do hereby declare and state under oath the following:
1. Declarant Information
Full Name: [Full Legal Name]
Date of Birth: [MM/DD/YYYY]
Address: [Full Address]
Identification Number (if applicable): [ID / Passport No.]
2. Statement of Facts
I affirm the following facts to be true and accurate to the best of my knowledge:
[Insert numbered list of facts being declared.]
3. Purpose of Statement
This sworn statement is provided for the purpose of [Describe reason, e.g., legal proceedings, insurance claim, financial verification, administrative requirement].
4. Affirmation
I declare under oath and penalty of perjury that the facts stated herein are true and correct. I understand that false statements may result in criminal or civil liability.
5. Execution
Executed this [Day] of [Month, Year], at [City, State/Country].
Declarant Signature: _______________________________
Printed Name: ___________________________________
6. Notary / Authorized Officer Acknowledgment
On this [Day] of [Month, Year], before me, [Name of Notary/Officer], personally appeared [Declarant’s Full Name], known to me (or satisfactorily proven) to be the individual who executed the foregoing Sworn Statement, and acknowledged it to be true and correct.
Notary / Officer Signature: __________________________
Printed Name: ____________________________________
Commission No.: _________________________________
My Commission Expires: ___________________________
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Sworn Statement Template: Notarized Declaration, Facts & Signature
SWORN STATEMENT FAQ
What is a Sworn Statement?
A Sworn Statement is a written declaration of facts that the declarant affirms to be true under oath or penalty of perjury. It is typically signed before a notary public or other authorized officer.
Why is a Sworn Statement important?
It carries legal weight by confirming the truth of statements made in legal, financial, or administrative contexts. Providing false information in a sworn statement can result in penalties, including fines or criminal charges.
When should you use a Sworn Statement?
Use it when facts must be officially documented and verified, such as in court proceedings, loan applications, insurance claims, or government filings.
What should a Sworn Statement include?
It should clearly state the declarant’s identity, the facts being attested to, the date and place of signing, and acknowledgment by a notary or authorized witness.
Is a Sworn Statement the same as an Affidavit?
They are very similar — both involve attesting to facts under oath. However, affidavits are usually more formal and strictly tied to judicial proceedings, while sworn statements can be broader in use.
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