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Affidavit Of Having Given Notice Of Dishonor--By Mail
AFFIDAVIT OF HAVING GIVEN NOTICE OF DISHONOR--BY MAIL
State of [State of affidavit]
County of [County of affidavit]
I, [Name of Notary], of [address of Notary], [city of Notary], [state of Notary], a notary public of [state of Notary], duly commissioned and sworn, do hereby certify:
I am a citizen and resident of [city], [state]; I am over the age of [Age of notary] 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 of Notice], I served notice of dishonor of the [draft/note], which provides for payment to [Name of payee], of [address of payee], [city of payee], [state of payee], of $[Amount of Note] Dollars on [date], by [Name of drawer or maker], of [address of drawer or maker], at [address of drawer or maker], [city of drawer or maker], [state of drawer or maker], 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 mailed], at [time mailed] at the [post office or mail box], located at [Location of post office]. The notice was sent to [party liable on instrument], of [address of party liable], [city of party liable], [state of party liable], which is [his/her] 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.
Dated:
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