Louisiana Affidavit of Identity
INTRODUCTION
I, [YOUR NAME], residing at [YOUR ADDRESS], being of sound mind and legal capacity, do hereby solemnly affirm and declare under penalty of perjury, as follows:
STATEMENTS
I am the individual named herein, and the information provided in this affidavit is true and accurate to the best of my knowledge.
I am providing this affidavit in response to a request for proof of my identity for the purpose of Identity Verification.
I hereby confirm that the following information pertains to my identity:
Date of Birth: [YOUR BIRTH DATE]
Place of Birth: [YOUR BIRTH PLACE]
Social Security Number: [YOUR SSN]
Government-issued Identification Number: [YOUR ID NUMBER]
I understand that by signing this affidavit, I am legally affirming my identity and accepting responsibility for the accuracy of the information provided herein.
I further understand that any false statements made in this affidavit may result in legal consequences, including but not limited to perjury charges.
SIGNATURES
IN WITNESS WHEREOF, I have hereunto set my hand and seal this [DATE].

[YOUR NAME]
Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]
Notary Public
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