Primary Residence Affidavit

Affiant Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], do hereby declare and affirm under penalty of perjury, being duly sworn, that the following statements are true and correct to the best of my knowledge and belief:

Statements

1. I affirm that [YOUR ADDRESS] is my primary residence, and I have resided at this address continuously since [RESIDENCY DATE].

2. I do not maintain a primary residence at any other location.

3. I understand that this affidavit is being executed for the purpose of verifying my primary residence, and I affirm that all information provided herein is accurate and complete.

4. I understand that providing false information on this affidavit may result in legal consequences, including but not limited to perjury charges.

5. I consent to the use of this affidavit by the relevant government agency for the purpose of determining my eligibility for government benefits.

6. I understand that I may be required to provide additional documentation or information to verify my residency as part of the application process for government benefits.

Signature

Signed and sworn before me on this [DATE].

[YOUR NAME]

[NOTARY PUBLIC NAME]

[NOTARY PUBLIC COMMISSION NUMBER]

[NOTARY PUBLIC EXPIRY DATE]

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