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Affidavit of Fact Form - Example



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Affidavit of Fact Form


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Sep 5, 2023 - The affidavit of fact form is designed for boat related registration, titling, and USCG documentation transactions. An example is shown in WikiLinks. Although generic in nature, it can be adapted for various purposes. Provided in Adobe PDF format, the text can  be copied into a word processing application and revised according to your particular needs.


This generic version, given the appropriate and required citations, is typically recognized by most state or federal agencies. However, some jurisdictions require usage of their own specific forms. You should accordingly check with the respective agency.


Header - If so desired, the header can be changed to reflect a specific usage such as "Statement of Facts", "Affidavit of Name Change" or "Affidavit of Correction".

Venue - The state and county in which the affirmation is given and notarized should be listed.

Vessel Description - A basic length, make, and year should suffice for a vessel description. However, a complete and accurate listing of all known identification and registration numbers is imperative.

Affiant Name - The full legal name of each affiant should be listed.

Residence - A physical address for each affiant should be stated.

Facts - The facts should be spelled out in clear, detailed and certain terms. Any referenced evidentiary items  must be attached.

Date - Insert the date on which testimony is given.

Signatures - The signatures of all affiants must be included.

Notarization - The Notary public may use the language as shown or include a notary attachment of choice.


The attestation of sworn testimony is serious business and knowingly false statements could result in prosecutorial actions for perjury. You should, therefore, consult with an attorney about any such concerns.

Use of this form may have legal, financial, and tax implications.
You should consult with an attorney or professional about any such concerns.

Credits and References

Sep 5, 2023 - Page revised.

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