Free Signed Statement Template (Court-Ready PDF)

When you need to memorialize facts without formal notarization, a signed statement keeps things simple. CourtPDF’s Signed Statement tool helps you capture the facts, add a signature line, and export a clean PDF that fits neatly in your evidence packet.

Signed statement vs. affidavit

Use a signed statement when the court or agency only needs your written declaration. If rules call for oath language or notarization, move up to an affidavit (try SwornStatementPDF). For discovery responses or witness testimony, consider WitnessStatementPDF instead.

What to include

• Your full name and optional address or case caption.
• Numbered or paragraph-form facts written in first person.
• A closing declaration, such as “I declare this is true to the best of my knowledge.”
• Signature and date, plus initials on each page if you will scan or copy it.

Sample outline

1. Title (e.g., “Statement Regarding Repair Request”).
2. Intro paragraph with your identity and relationship to the case.
3. Fact paragraphs in chronological order.
4. Closing declaration and signature block.

Common mistakes to avoid

• Leaving out dates or names that connect your statement to other evidence.
• Mixing opinions or hearsay—stick to what you saw or did.
• Forgetting to initial each page if you plan to scan and submit copies.

Related tools

• Build a narrative timeline with TimelineCourt to accompany your statement.
• Summarize facts for filings using StatementOfFacts.
• Draft follow-up letters or demands via DemandLetter if action is required.