Legal Oath Document

LEGAL OATH DOCUMENT

This Legal Oath Document is executed this day of by and between Affiant: whose address is and Oath Administrator: in the capacity of .

RECITALS

WHEREAS, Affiant declares that Affiant possesses direct knowledge of the facts set forth in the Statement of Facts below and intends to make a sworn oath or affirmation concerning those facts for use in administrative, civil, or other legal proceedings; and

WHEREAS, the Oath Administrator is authorized to administer oaths and acknowledgments in the jurisdiction in which this document is executed and will administer the oath in accordance with applicable law; and

WHEREAS, the parties desire to record the oath and related statements in a formal, written instrument that can be relied upon by courts, governmental bodies, and other authorized persons or entities.

NOW THEREFORE, in consideration of the foregoing and of the mutual covenants contained herein, the parties agree as follows:

1. DEFINITIONS

For the purposes of this document, the following definitions apply: "Affiant" means the individual executing the oath whose name appears above; "Oath Administrator" means the person identified above who administers the oath; "Statement of Facts" means the sworn narrative provided by the Affiant and incorporated into this instrument.

2. OATH AND AFFIRMATION

The Affiant hereby swears (or affirms, if selected) that the Statement of Facts set forth in this instrument is true and correct to the best of the Affiant's knowledge, information and belief. The Affiant understands that willfully making a material false statement in this sworn instrument may subject the Affiant to civil and criminal penalties, including but not limited to penalties for perjury under applicable law.

Method: Sworn Affirmed (Select one; selecting both is void)

3. STATEMENT OF FACTS

4. REPRESENTATIONS AND WARRANTIES

The Affiant represents and warrants that: (a) the Statement of Facts is true and correct to the Affiant's personal knowledge or is stated as true to the best of the Affiant's belief where denoted as belief; (b) the Affiant has the legal capacity to make this oath; and (c) there are no known material omissions in the Statement of Facts that would render any material statement misleading.

5. USE AND RELIANCE

This document may be relied upon by courts, administrative agencies, private parties, and others where a sworn statement is required or permitted. The Oath Administrator acknowledges that the signature of the Affiant, taken in the presence of the Oath Administrator, constitutes a formal oath or affirmation for the purposes stated herein.

6. NOTICES

Notices shall be deemed given on the date of personal delivery or three days after deposit in the United States mail, postage prepaid, sent to the addresses set forth above, or upon confirmed electronic receipt if sent by mutually agreed electronic means.

7. AMENDMENT; WAIVER; COUNTERPARTS

This Document may be amended only by a written instrument signed by both parties. No waiver of any provision of this Document shall be effective unless in writing and signed by the party granting the waiver. This Document may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

8. GOVERNING LAW

This Document shall be governed by and construed in accordance with the laws of the jurisdiction in which the oath is administered, without regard to its conflict of laws principles.

9. ENTIRE AGREEMENT

This Document, together with the Statement of Facts and any exhibits expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral.

10. SEVERABILITY

If any provision of this Document is held to be invalid, illegal or unenforceable, the remaining provisions shall remain in full force and effect and shall be construed so as to give effect to the original intent of the parties to the fullest extent permitted by law.

11. ADMINISTRATION OF OATH

The Oath Administrator shall administer the oath or affirmation to the Affiant in the presence of the Affiant. The Oath Administrator certifies that, to the best of the Oath Administrator's knowledge, the person appearing as Affiant is the same person identified by Affiant_name above and that the oath was administered on the date indicated in the signature block below.

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