Affidavit of Residency
This Affidavit of Residency is made pursuant to the laws of the State of [Your State]. This document serves to affirm that the undersigned individual resides at the specified address. Please fill in the blank spaces with the required information.
Affiant Information:
- Full Name: ______________________________________
- Date of Birth: ___________________________________
- Current Address: ________________________________
- City: __________________________________________
- State: _________________________________________
- Zip Code: _____________________________________
Residency Confirmation:
I, [Affiant's Name], hereby affirm that I currently reside at the address stated above. I have lived at this address since [Date] and consider it my permanent residence.
Identification:
To support this affidavit, I am providing the following identification:
- Type of ID: _____________________________________
- ID Number: _____________________________________
- Issuing Authority: ________________________________
- Expiration Date: ________________________________
Sworn Statement:
I declare under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge.
Signature:
_____________________________________
Printed Name: ___________________________
Date: _____________________________________
This Affidavit of Residency is effective as of the date signed above and may be presented to relevant authorities as evidence of residency.