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Affidavit Blind And Illiterate Affiant With Witness



AFFIDAVIT BLIND AND ILLITERATE AFFIANT WITH WITNESS

Subscribed and sworn to before me on [date of affidavit], the same having been [in my presence or by me] read to the [deponent or affiant],
he or she] being blind, and [he or she] appearing to me to understand the same, and having made [his or her] mark in my presence and in the
presence of the [number] persons who subscribed their names as witnesses to this affidavit.


Signature and Title Dated