Affidavit Of Non-Response Form printable pdf download

Affidavit Of Non-Response Form

AFFIDAVIT OF NON-RESPONSE

STATE OF ____________________

COUNTY OF ____________________

KNOW ALL MEN BY THESE PRESENTS, that on this day, before me, a Notary Public, personally came

and appeared ___________________________________, as Affiant, who after being first duly sworn,

upon oath stated:

My name is ____________________. I am over the age of eighteen years. I have personal

knowledge of the facts stated below.

As of date, ___________________, I have not received any written response to the document(s)

I mailed on date ___________________ to the person(s) named below. The document(s) mailed

and the delivery date(s) was (were):

________________________________________________________________________

The person(s) and their respective, addresses are as follows:

Recipient Name

Recipient address

Recipient City, State Zip

Certified mail return receipt number _______________

Signature of Affiant

SUBSCRIBED AND SWORN TO, OR AFFIRMED, before me on this _____ day of ______________,

_______ by ______________________________.

(SEAL)

Notary Public

My Commission expires: ______

Affidavit Of Non-Response Form