General Sworn Statement Template
Confirm whether your jurisdiction requires a specific form, oath, witness or notary.

Declarant Information
Full legal name: _________________________________
Address: ________________________________________
Phone / email if required: _______________________
Case / reference / matter number: ________________

Introductory Statement
I, ______________________________, state that the following facts are true to the best of my knowledge and are based on my personal knowledge except where otherwise identified.

Statement of Facts
1. ____________________________________________________________
Date / place / source of personal knowledge: __________________
2. ____________________________________________________________
Date / place / source of personal knowledge: __________________
3. ____________________________________________________________
Date / place / source of personal knowledge: __________________

Supporting Records
List documents, photographs, messages, receipts or other exhibits referenced in the statement.
_______________________________________________________________

Declaration / Oath
Use only wording accepted for the intended purpose and jurisdiction.
Required wording: ______________________________________________

Signature
Declarant signature: _______________________  Date: _____________
Witness / authorized official: _____________  Date: _____________
Notary / seal area if required: __________________________________