Under penalties of perjury, I declare that to the best of my knowledge and belief the above statement is true, correct, and complete. "I have not authorized or permitted any person to utilize my Texas Driver License or Identification Card number or my name for any illegal purpose whatsoever.".The account holder MUST provide an Affidavit of Forgery before any criminal charges can be filed! An affidavit must accompany each forged or counterfeited item. I am first duly sworn and state I am: Name. I declare the following: • I did not receive any part of the proceeds of the instrument(s) listed above. A Forgery Affidavit form is primarily used when the payee's signature has been forged in the process of receiving payment through a Dallas County check. I,. , being first duly sworn on oath, depose and. (signer's name) state the following: That I reside at. If you witness a fellow Notary committing a crime, find out how you can report it and what information you will need to provide.