STATE OF NEW HAMPSHIRE
COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], residing at [YOUR ADDRESS], in the County of [County Name], State of New Hampshire, being duly sworn, hereby depose and state the following:

Statement of Facts:

1. The affiant, bearing the full legal name of [YOUR NAME], currently resides at [YOUR ADDRESS].

2. Born on the date of [DOB], and engaged in the profession of [Occupation, if relevant], I am duly recognized by authorities through my identification number: [Driver’s License/State ID/Passport Number].

3. This statement serves to formally acknowledge and verify my identity and professional affiliation (when applicable) as accurately presented herein for any pertinent legal, professional, or official purposes requiring such information.

4. I am making this affidavit for the purpose of verifying my personal information and circumstances as required for official records by this affidavit is prepared and submitted for the purpose of serving as evidence in the matter of the application for a building permit with the City Planning Department.

5. Hereby, I affirm the following personal information and circumstances to be true and accurate:

   • Fact 1: My legal name is [YOUR NAME], as stated in my birth certificate and other legal documents.

   • Fact 2: I am the sole owner of the property located at [YOUR ADDRESS], as evidenced by the deed recorded in the County Recorder's Office.

   • [Continue as necessary for all relevant facts]

Purpose of Affidavit:

This affidavit is executed for the purpose of verifying the above-stated personal information and circumstances, intended for submission to the Department of Motor Vehicles for the purpose of updating my driver's license records.

Declaration of Truthfulness:

I understand that this affidavit is made under the penalty of perjury. I declare under penalty of perjury under the laws of the State of New Hampshire that the foregoing is true and correct to the best of my knowledge, information, and belief.

Executed on this [DAY] of [MONTH], [YEAR]., at [City], New Hampshire.

Signature:

[YOUR NAME]

Subscribed and sworn to (or affirmed) before me on this [DAY] of [MONTH], [YEAR], by [YOUR NAME] known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument.

[Notary Public’s Printed Name]

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