Kansas Affidavit of Identity

Introduction

I, [YOUR NAME], the undersigned, being duly sworn, depose and state as follows:

Statement of Facts

1. I am the individual whose name appears on this Affidavit.

2. I reside at [YOUR ADDRESS], in the city of [CITY NAME], Kansas.

3. My date of birth is [YOUR DATE OF BIRTH].

4. My social security number is [YOUR SOCIAL SECURITY NUMBER].

5. I am applying for a loan from [LENDING INSTITUTION NAME] in the amount of $[LOAN AMOUNT].

6. I understand that [LENDING INSTITUTION NAME] requires verification of my identity as part of the loan application process.

Sworn Oath

I swear under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.

Signed this [DATE] day of [MONTH], [YEAR].

[YOUR NAME]

Affiant

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Notary Acknowledgment

State of Kansas

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, State of Kansas

My Commission Expires: [EXPIRATION DATE]

[NOTARY SEAL]

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