Fillable Printable Affidavit of Non-Prosecution - Texas
Fillable Printable Affidavit of Non-Prosecution - Texas
Affidavit of Non-Prosecution - Texas
www.wshfc.org/managers/forms-RC.htm
Gift Affidavit │Rev. January 2014
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GI FT AFFID AVI T
Propert y Name:
Unit:
Appli cant /Resident Name:
I,
, residi ng at
Name
St reet A ddress
, do hereby certify t hat I give / rec eiv e the sum of
City
State
Zip Code
(CIRCLE ONE)
$
in the form of (i.e. gift, etc.)
and I further cert ify t hat this inco m e is o f a recurring nat ur e :
weekly
monthly
annually
Signature
Date
NOTE: Sign in Presence of Notary Only
STATE OF WASHINGTON
)
)
ss.
COUNTY OF
)
On this
day of
,
, personally appeared before me
, to me kn own to be the individual
described in and who executed the within and foregoing instr ument, and acknowledged to me
under oa th that she/he signed the same of her/his fr ee and voluntar y act and deed, for uses
and purposes therein mentioned.
WITNESS my hand and of ficial seal heret o aff ixed the day and year first above writ ten.
NOT ARY PUBLIC in and for the state of Washington
Residing at:
Printed Name:
My Commission expires:
