STATE OF INDIANA )
**)SS: IN THE MARION SUPERIOR COURT 3
COUNTY OF MARION ) CAUSE NO. 49D03-2501-MF-002559

FINANCIAL CENTER
FIRST CREDIT UNION,
Plaintiff,
vs.
CODY RICE-VELASQUEZ,
et al.,**
Defendants.


STATE OF [Aff State] )
**)SS:
COUNTY OF [Aff County] )

I, [Name], declare as follows:

  1. I have personal knowledge of the facts set forth in this Declaration and, if called as a witness, I could and would testify competently to these facts.

  2. [Fact 1: Describe the event or information clearly].

  3. [Fact 2: Provide the ‘Receipt’—dates, times, locations].

  4. [Fact 3: Explain why this fact matters to Cody’s case].

I declare under penalty of perjury under the laws of the State of Indiana that the foregoing is true and correct.

Executed on: [Date] At: [City, State]

Signature: __________________________ Printed Name: __________________________