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

1. I am the individual named herein, and the information provided in this affidavit is true and accurate to the best of my knowledge.

2. I am providing this affidavit in response to a request for proof of my identity for the purpose of Identity Verification.

3. 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]

4. I understand that by signing this affidavit, I am legally affirming my identity and accepting responsibility for the accuracy of the information provided herein.

5. 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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