General Statement of Fact

This General Statement of Fact provides a sworn declaration of personal knowledge or events.

It includes:

• Declarant’s identifying information

• Statement of facts being declared

• Section for additional details or attachments

• Notary acknowledgment section

Format: Fillable PDF (print or complete digitally)

Use Cases: Legal filings, business records, administrative requests, sworn personal statements

Notarization: Required — notarization validates the statement

⚠️ Disclaimer:

This is a general affidavit form and may not meet the requirements of all courts or agencies. Please confirm acceptance with the requesting party. Utsey Notary Services LLC does not provide legal advice.

Instructions:

Download instantly after purchase, complete the form, and have it notarized by Utsey Notary Services or any licensed notary of your choice before submitting it to your insurance company.