This certificate pertains to a ______ page document dealing with/entitled ______________________________ and signed on __________.
Affidavit of Identity by One or Two Credible Witnesses
On this _______ day of ___________________________
(month/year), under penalties of perjury,
I, swear (or affirm) that the person appearing before the undersigned notary public is personally known to
me as _____________________________________
named in the document requiring notarization; that I believe this person does not possess the required
identification; that it would be difficult or impossible for this person to obtain such identification; and that I
have no financial interest in and am not a party to the underlying transaction.
Witness: Witness (if utilizing two credible witnesses):
______________________________________ ________________________________________
______________________________________ _______________________________________
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State of Georgia
County of ____________________
Signed and sworn to (or affirmed) before me this _____ day of __________________
(month/year), by
____________________________________________ who is personally known
(name of single witness)
or
______________________________________ ________________________________________
(Witness one) (Witness two)
who produced satisfactory identification.
_______________________________
(signature of notary public)
Notary Public, State of Georgia Stamp/Seal
My commission expires: ______________________