AFFIDAVIT
June 12, 2023
AFFIDAVIT
STATE OF__________________
COUNTY OF ________________
Before me, the undersigned authority, personally appeared ____________________________________
(attorney in fact/”Affiant”) who swore or affirmed that:
__________________________________
[signature of Affiant]
State of Kentucky
County of ___________
The foregoing instrument was acknowledged before me this ______ day of _______ (year), by ______________________ (name of person acknowledged).
_______________________________________
(Signature of person taking acknowledgment)
(Title or Rank):__________________________
(Serial number, if any):____________________