I, [YOUR NAME], residing at [YOUR ADDRESS], hereby declare and affirm under penalty of perjury, in accordance with the laws of [STATE NAME], that the [DESCRIPTION OF ASSET] registered under [ASSET IDENTIFICATION DETAILS] is not currently in operation and will remain non-operational until further notice.
I attest to the following statements regarding the non-operation of the aforementioned asset:
I further affirm that all information provided in this affidavit is true and accurate to the best of my knowledge.
I understand that any false statements made herein may subject me to legal penalties, including but not limited to perjury charges.
[YOUR NAME]
This document was signed in the presence of:
[WITNESS' NAME]
State of [STATE NAME]
County of [COUNTY NAME]
On this [DATE], before me, a Notary Public in and for the State and County aforesaid, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
Witness my hand and official seal.
[NOTARY PUBLIC NAME]
[NOTARY PUBLIC COMMISSION NUMBER]
[NOTARY PUBLIC EXPIRY DATE]