IN THE SUPERIOR COURT OF ______________ COUNTY STATE OF GEORGIA FAMILY DIVISION
Petitioner:
Civil Action File No:
and Respondent:
VERIFICATION I, _________________________, personally appeared before the undersigned Notary Public, and say under oath that I am the (check one:) “ Petitioner “ Respondent in the above-styled action and that the facts stated in the
are true and correct.
This the ____________________ day of _____________________, _____. [date]
[month]
[year]
__________________________________________________ (Sign your name here in front of the Notary) Name (print or type):___________________________________ Address:____________________________________________ ___________________________________________________ Telephone number: ( ) Sworn to and subscribed before me, this _____ day of _________________, _______.
NOTARY PUBLIC My Commission Expires: (Notary Seal)
If you require materials in alternate format, please notify the Family Law Information Center as soon as possible. Verification Form-rev. 9/99 1999 Superior Court Family Division
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