STATE OF INDIANA

COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], being duly sworn, depose and say:

Statement of Facts:

1. I, [YOUR NAME], born on [DOB], currently reside at [YOUR ADDRESS].

2. For the purposes of this affidavit, I may provide my Social Security Number, which is [SSN], although it is noted that providing this information is optional and not a mandatory requirement for the validity of this document.

3. Additionally, I hold a [State Name] issued Driver’s License/State Identification Number [ID Number], which is valid through [Expiration Date].

4. This document serves to establish my identity unequivocally for transactions with financial institutions, including but not limited to [Opening a Bank Account], and any other scenario where proof of identity is imperative to prevent fraud or identity theft.

5. I hereby affirm that I am the individual named above and that the information provided is true and accurate to the best of my knowledge.

6. I understand that this affidavit is made for the purpose of establishing my identity with [Financial Institution/Bank Name] for the purposes of [Opening a Bank Account].

Acknowledgment of Legal Obligation:

I understand that this affidavit is made under the penalty of perjury and that making a false statement in this affidavit is subject to penalties for perjury under Indiana law.

Supporting Documents:

Attached hereto are copies of [mention any supporting documents, e.g., a copy of my driver's license, passport, etc.] as proof of my identity.

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

Notary Public:

State of Indiana, County of [County Name]

Subscribed and sworn to (or affirmed) before me on this [Day] of [Month], [Year], by [YOUR NAME], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

Signature:

[YOUR NAME]

[NOTARY PUBLIC NAME]

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