Affidavit of Residency
This Affidavit of Residency is intended to serve as a formal statement affirming the residency of an individual at a specific address. It complies with the laws of the state of [STATE], as required for various legal and administrative purposes.
By completing this affidavit, you will confirm your current residence and provide necessary details, which may be required for various applications, including voter registration, school enrollment, or public assistance. Please fill in the blanks with your personal information accurately.
I, ____________________________, hereby declare under penalty of perjury that I reside at:
Address: ___________________________________________
City: ___________________________________________
State: [STATE]
Zip Code: ___________________________________________
This declaration is made based on the following facts:
- I have lived at the above address since _______________ (date).
- I intend to remain at this address until __________________ (date or indefinitely).
- This address is my primary residence, and I do not claim residency elsewhere.
The statements made herein are true and accurate to the best of my knowledge. I understand that providing false information may lead to legal consequences.
Signed this ___ day of ____________, 20__.
______________________________
(Signature of Affiant)
______________________________
(Printed Name of Affiant)
______________________________
(Contact Information)
______________________________
(Witness Signature, if required)
______________________________
(Printed Name of Witness)
This affidavit may need to be notarized depending on the requirements of local laws. Ensure that you check the specific regulations in your area.