Exhibit "[identifying mark]" affidavit of [name] [date]




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Form 42 (version 1)
UCPR 35.6

EXHIBIT "[IDENTIFYING MARK]"

AFFIDAVIT OF [NAME] [DATE]


COURT DETAILS

Court




#Division




#List




Registry




Case number




TITLE OF PROCEEDINGS

[First] plaintiff

[name]

#Second plaintiff #Number of plaintiffs (if more than two)










[First] defendant

[name]

#Second defendant #Number of defendants (if more than two)




CERTIFICATE IDENTIFYING EXHIBIT

This is the exhibit marked "[identifying mark]" referred to in the affidavit of [name] [#sworn #affirmed] before me on [date].

Signature of witness




Name of witness




Address of witness




Capacity of witness

[#Justice of the peace #Solicitor #Barrister #Commissioner for affidavits #Notary public]





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