Connecticut Affidavit for Residence
STATE OF CONNECTICUT
COUNTY OF [County Name]
Introduction:
I, [YOUR NAME], being duly sworn, depose and say:
Statement of Facts:
I, [YOUR NAME], born on [DATE OF BIRTH], currently reside at [YOUR ADDRESS].
I can be reached at [YOUR TELEPHONE NUMBER] or via email at [YOUR EMAIL ADDRESS].
This affidavit is to declare and confirm my residency within the state of Connecticut for the purposes of obtaining a public library membership.
I hereby declare that I am a resident of the State of Connecticut, residing at the address stated above. I have lived at this address since [Date You Started Living at the Address].
This affidavit is made for the purpose of providing proof of residency within the municipality/state of Connecticut for obtaining a public library membership.
Additional Statements:
I affirm that the information provided in this affidavit is true and correct to the best of my knowledge and belief. I understand that providing false information on this affidavit can result in penalties under the law.
Documentation Attached (Optional):
Attached herewith are [Number of Documents] documents as proof of my residency, including a utility bill, lease agreement, and a copy of my driver's license.
Sworn to (or affirmed) and subscribed before me this [Day] of [Month], [Year].
Signature:
[YOUR NAME]
[NOTARY PUBLIC NAME]
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