Form 1038C No. _____________________________________ Section: _________ _____________________________________________ versus _____________________________________________ AFFIDAVIT OF CORRECTNESS OF ACCOUNT AND/OR NOTE AND NON-MILITARY SERVICE Before me, the undersigned authority, duly qualified and commissioned in and for the Parish of Orleans and therein residing, personally came and appeared _____________________________ ____________________________, who being first duly sworn by me, Notary, deposed: That he is ______________________________________________________, plaintiff in the above entitled and numbered case; that he is familiar and well acquainted with the debt of ______________________________________________ defendant(s) in the above captioned case; that the true and correct amount owed t plaintiff by above named defendant(s) is $________________ plus interest and attorneys fees as prayed for; all subject to a credit of $________________. That the defendant(s) is (are) not in the military services of the United States of America nor in that of any of its allies. ____________________________________ A ffiant Sworn to and subscribed before me this ______ day of ______________________, 20____ _________________________________________ Notary Public