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1. Title and Venue: Specifies the document type ('AFFIDAVIT OF INDEMNITY') and the jurisdiction where it is being executed
2. Affiant Information: Full legal name, age, citizenship, civil status, and complete address of the person making the affidavit
3. Competency Declaration: Statement affirming the affiant's legal capacity to execute the affidavit and that they are of legal age and sound mind
4. Background/Recitals: Detailed explanation of the circumstances necessitating the indemnity (e.g., loss of documents, certificates, or other property)
5. Description of Lost Item/Circumstance: Specific details about the lost item or circumstance requiring indemnification, including relevant dates, numbers, and identifying information
6. Indemnification Clause: The core promise to indemnify and hold harmless the protected party against any claims, damages, or losses
7. Verification: Statement affirming the truth and correctness of the contents of the affidavit
8. Execution: Place and date of execution, signature line for the affiant
9. Jurat/Notarial: Notarial section where the notary public attests that the affiant personally appeared and subscribed to the document under oath
1. Supporting Documents Reference: Section listing and describing any supporting documents attached to prove the loss or circumstances (used when there are relevant supporting documents)
2. Witnesses: Section for witness information and signatures, if witnesses are required to attest to the loss or circumstances
3. Additional Undertakings: Specific promises or undertakings beyond the basic indemnity (used when there are special circumstances or requirements)
4. Government Requirements: Special declarations required by government agencies or institutions (used when the affidavit is being submitted to specific authorities)
5. Consideration: Statement of any consideration being provided for the indemnity (used in cases where there is a payment or other consideration involved)
1. Schedule A - Details of Lost Item: Detailed description and specifications of the lost item or document, including serial numbers, dates, and other identifying information
2. Schedule B - Supporting Documents: Copies of relevant supporting documents such as police reports, original receipts, or other evidence of ownership or loss
3. Schedule C - Witness Statements: Written statements from witnesses, if any, attesting to the circumstances of the loss or the authenticity of claims
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