Arkansas Affidavit of Identity
Introduction
I, [YOUR NAME], being duly sworn, depose and say as follows:
Statement of Facts
I am a citizen of the United States of America and a resident of the State of Arkansas.
I am applying for a passport for [STATE THE PURPOSE].
My full name is [YOUR NAME], and I was born on [YOUR DATE OF BIRTH] in [YOUR PLACE OF BIRTH].
My current address is [YOUR CURRENT ADDRESS].
Sworn Oath
I solemnly swear that the information provided in this affidavit is true and correct to the best of my knowledge and belief. I understand that any false statements made herein are punishable by law.
[YOUR NAME]
Affiant
Notary Acknowledgment
State of Arkansas
County of [COUNTY NAME]
On this [DATE] 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 Public
My commission expires: [EXPIRATION DATE]
[NOTARY SEAL]
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