Affidavit of Residency

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], hereby declare and affirm under penalty of perjury, pursuant to the laws of the State of [STATE NAME], that the following statements are true and accurate to the best of my knowledge:

Statement of Facts

The details of my residency are as follows:

1. Residency Information

   • I am a legal resident of the address stated above, and I have been residing at this address since [DATE].

2. Proof of Residency

   • I am providing this affidavit as proof of my residency at the aforementioned address for the purpose of applying for government benefits.

3. Ownership or Tenancy

   • I am the owner of the property located at the aforementioned address.

4. Government Benefits Eligibility

   • I affirm that I meet the residency requirements for the purpose of receiving government benefits. I understand that providing false information in this affidavit may result in legal consequences.

Sworn Oath

I affirm that all statements made herein are true and accurate to the best of my knowledge and belief.

Signature

[YOUR NAME]

[DATE]

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