AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA }ss: County ……………………………………………….. Name)…………………, being duly sworn (affirmed) according to law, …(Officer deposes and says that he/she is of Title)…………………….. ……(Officer Name)…………………………..; that he/she is authorized to and does make ……(Company this affidavit for it; and that the customer notice was mailed this day of in the month of in the year of ……(Date)………….. …(Month)…… …….20XX…… …………………………………….. (Officer Name and Title) …………………………………….. Signature of Affiant(s) and subscribed before me this day of 20XX…… ………………….. …………….. My Commission Expires ……………………… ………………………………………… Signature of Official Administering Oath Customer Notice Affidavit
AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ……………………………………………….. County }ss: …(Officer Name)…………………, being duly sworn (affirmed) according to law, deposes and says that he/she is ……(Officer Title)…………………….. of ……(Company Name)…………………………..; that he/she is authorized to and does make this affidavit for it; and that the customer notice was mailed this day of ……(Date)………….. in the month of …(Month)…… in the year of …….20XX…… …………………………………….. (Officer Name and Title) …………………………………….. Signature of Affiant(s) and subscribed before me this ………………….. day of …………….. 20XX…… My Commission Expires ……………………… ………………………………………… Signature of Official Administering Oath Customer Notice Affidavit
SGTF_Short_Form_Instructions_Definitions.docx