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BIRTH AFFIDAVIT
State all the facts you know about the applicants birth. State how you obtained this knowledge. Continue on the back of this form if additional space is
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AFFIDAVIT State of New York ) County of
1. I am over the age of eighteen, suffer no legal disabilities, have personal knowledge of the facts set forth below, and am a member of
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Affidavit format/Sample
I, John P. Penny, do solemnly swear this statement of my record of conviction(s) and of the circumstances surrounding said conviction(s) is true and accurate
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