nye county sheriff witness statement form

WITNESS STATEMENT FORM FOR NYE COUNTY SHERIFF

This witness statement is provided by , being a with Nye County Sheriff's Office, in support of the above-captioned matter.

I hereby state that I have personal knowledge of the facts set forth below and believe them to be true. The following information was obtained from my own observations or records kept in the course of my duties at Nye County Sheriff's Office:

1. My name is .

2. My address for service is:

Nye County Sheriff's Office

3. I have been employed by Nye County Sheriff's Office since .

STATEMENT OF FACTS

On or about , I personally observed/possessed information regarding the following facts related to this matter:

EXHIBITS

I hereby attach as exhibits to my sworn statement the following documents which support my testimony and are marked with their respective exhibit numbers for identification purposes:

Exhibit 1: 'Description of Exhibit'

- Signature: ___________________________

Date: _______________________________________

IN WITNESS WHEREOF,

'Signature'

'Printed Name'

Sworn to under penalty of perjury this ________ day of _______, 'Year'.

Nye county sheriff witness statement form