Declaration Form for Legal Notice For verification. To Whomsoever It May ConcernISon/Daughter ofaged aroundyearsresident ofhereby declare that the information provided in this form is accurate to the best of my knowledge. I affirm that I am the rightful individual to initiate the legal notice. I acknowledge that this legal notice is sent in good faith and not for purposes of harassment, vengeance, or any malicious intent.On this dayDayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature of the deponent(Required)Sign using screen touch, mouse or touchpad Email(Required) PhoneConsent(Required) I hereby consent to Adjuva Legal sending the legal notice on my behalf. I understand that Adjuva Legal acts only as a facilitator in this process and is not responsible for the content of the notice.Liability Clause(Required) I acknowledge that Adjuva Legal shall not be liable for any consequences arising from the sending of this notice. I take full responsibility for any legal challenges or disputes that may arise from the delivery of this notice.Denial of Application Clause(Required) I understand and agree that Adjuva Legal reserves the right to deny the application for sending a legal notice if there is a suspicion of malicious intent or misuse.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
