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Affidavit Of Correctness Of Account - Louisiana
| Affidavit Of Correctness Of Account Form. This is a Louisiana form and can be used in Civil City Court East Baton Rouge Local Parish . |
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_______________________________________ SUIT NO. _____________ DIV. ____ Plaintiff BATON ROUGE CITY COURT VS. CITY OF BATON ROUGE _______________________________________ STATE OF LOUISIANA Defendant AFFIDAVIT OF CORRECTNESS OF ACCOUNT BEFORE ME, the undersigned authority, personally came and appeared: _________________________________________, who, being first duly sworn, did depose and say that AFFIANT he/she is employed by Plaintiff, that he/she is personally familiar with the account at issue in this litigation, that the balance due by ____________________________________ __________, Defendant, to______________________________________________, Plaintiff, is $_______ ____________, as more fully described in Exhibit I, attached hereto and made a part hereof, that the services and/or products described in Exhibit I were actually rendered and/or provided to defendant, and that, despite repeated amicable demands, Plaintiff has been unable to collect this debt. _____________________________________________ AFFIANT SWORN TO AND SUBSCRIBED , before me, Notary Public, on the ____ day of ____________, 20____. ________________________________________________ NOT ARY PUBLIC Civil Affidavit of Correctness of Account (05-13-03)
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