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Reset Form INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT Confined Feeding Section Office of Land Quality 100 North Senate Avenue MC 6545, ICN 1101 Indianapolis, Indiana 46204 (800) 4516027 extension
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Read the instructions carefully to understand what information is needed on the affidavit.
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Fill in your personal details such as name, address, and contact information.
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Specify the purpose of the affidavit and provide any necessary supporting documents or evidence.
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Sign and date the affidavit in the presence of a notary public or authorized witness.
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Who needs this affidavit must be?

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Anyone who needs to provide a sworn statement or declaration of facts for legal purposes may need to fill out this affidavit.
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It is commonly used in court proceedings, immigration applications, and business transactions.
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This affidavit must be a formal written statement made under oath, verifying specific facts or information as required by law or regulation.
Individuals or entities who are mandated by law or regulatory authorities to declare specific information or confirm certain facts must file this affidavit.
To fill out this affidavit, one must complete all required sections accurately, provide necessary evidence or documentation, sign it in front of a notary public, and submit it to the designated authority.
The purpose of this affidavit is to provide a legal confirmation of facts, support a claim, or fulfill a requirement set forth by governing laws or regulations.
This affidavit must report specific personal information, factual statements, and any relevant evidence or documentation required by the issuing authority.
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