Residential Affidavit

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

  1. I am a resident of the above-mentioned address.

  2. I have resided at this address since [DATE OF RESIDENCY].

  3. My residence at this address is permanent and not temporary.

  4. 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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