Residential Affidavit
Introduction
I, [YOUR NAME], residing at [YOUR ADDRESS], City of [CITY], State of [STATE], [ZIP CODE], do hereby solemnly affirm and declare as follows:
Statement of Facts
I am a resident of the above-mentioned address.
I have resided at this address since [DATE OF RESIDENCY].
My residence at this address is permanent and not temporary.
I do not have any other permanent residence.
Sworn Oath
I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
Executed on this [DAY] day of [MONTH], [YEAR].
[YOUR NAME]
Acknowledgment
State of [STATE]
County of [COUNTY]
On this [DAY] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that [HE/SHE] executed the same for the purposes therein contained.
Witness my hand and official seal.
[NOTARY SEAL]
[NOTARY PUBLIC NAME]
My commission expires: [EXPIRATION DATE]
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