I, __________, __________, resident of __________, do hereby solemnly affirm and declare as under:
1. That I am the deponent above named and am competent to swear this affidavit, the contents of which are true to my own personal knowledge.
8. That this affidavit is sworn for the purpose stated above and for no other purpose, and that nothing material has been concealed and no part of it is false.