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Affidavit Of Having Given Notice Of Dishonor By Mail
STATE OF -------)
) ss: [Date]
COUNTY OF ------)
I, [Name], of [Address], a notary public of [State], duly commissioned and sworn, do hereby certify:
I am a citizen and resident of [City], [County], [State]; I am over the age of [--] years.
I am neither interested in nor a party to the matter referred to in the copy of the notice attached to this document.
On [Date], I served notice of dishonor of the [Draft or Note], which provides for payment to [Payee], of [Address], of [$------] on [Date], by [Drawer or Maker], of [Address], at [Address], [if draft, add: drawn on [Drawee], by mailing the notice by [Certified or Registered] mail, with return receipt requested and postage fully prepaid. The notice of dishonor was mailed on [Date], at [Time] at the [Post Office or Mail Box], located at [Address].
The notice was sent to [Party Liable on Instrument], of [Address], which is [Name] reputed residence.
There was regular communication by United States mail between the place of mailing and the place of destination at the time of the mailing of the notice described above.
Witness my hand and official seal.
[Name of Notary Public]
My commission expires: [date]