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-WITNESS AFFIDAVIT-
It is recommended that written statements of persons not present at the hearing be verified by affidavit
and the signatures of the person providing the statement be notarized.
Professional Standards Case -
v.
complainant(s) respondent(s)
This statement (below or attached) is true and correct to the best knowledge and belief of the
undersigned. Under the penalties of perjury, I (we) declare that to the best of my (our) knowledge and
belief, the statements contained in this Affidavit are true and correct
Name of Witness(es)
Name of Party for whom I am Witness -
Statement of Witness(es): (attach separate sheet if necessary)
Name and Signatures of Witness(es):
(Type/Print Name) Type/Print Name)
(Signature) (Signature) (Date)
Notary’s Signature -
Subscribed and sworn to before me
on
Notary Public/Clerk of Circuit Court, State of Wisconsin
My commission expires: