STATE OF PENNSYLVANIA

COUNTY OF [County Name]

Introduction:

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

Statement of Facts:

1. I, [YOUR NAME], born on [Date of Birth], hereby affirm under penalty of perjury that I am a legal resident of the State of Pennsylvania, residing currently at [YOUR ADDRESS].

2. I have lived at this address for [Number of months/years], establishing it as my primary and current residence.

3. Prior to this, I resided at [Your Previous Address] (if applicable).

4. This declaration is made with the understanding that it serves to confirm my residency status within the State of Pennsylvania for matters pertaining to legal and judicial concerns, including, but not limited to, divorce, custody, or inheritance issues.

5. I acknowledge that any false statement made in this affidavit is subject to penalties under the law.

Relationship to Any Minors or Dependents Involved (if applicable):

I am the legal guardian of the minor mentioned in the legal proceedings and have been entrusted with their care and well-being by the court.

As their guardian, I am fully committed to ensuring their best interests are protected throughout the proceedings.

I affirm that the above-stated residence is my current and primary place of living, and I intend to maintain it as such.

Declaration:

This affidavit is made to establish my residency in the state of Pennsylvania for purposes related to legal and judicial matters, including but not limited to divorce, custody, or inheritance issues.

I understand that providing false information on this affidavit can result in penalties under the law.

Additional Information (if any):

I am submitting this affidavit in response to a court order requiring documentation of my relationship to the minor involved in the legal case. This affidavit serves to affirm my guardianship and responsibility for the minor's welfare during the proceedings.

Sworn to and subscribed before me on this day, [Day] of [Month], [Year].

Signature:

[YOUR NAME]

Subscribed and sworn to (or affirmed) before me on this [Day] of [Month], [Year], by [YOUR NAME], proving to me through government-issued photo identification to be the person whose name is subscribed to the within instrument.

[NOTARY PUBLIC NAME]

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