Notary for Passport
State of California
County of San Francisco
Date: November 19, 2050
I, Miranda Ryans, being duly sworn, do hereby make the following affidavit:
Affiant’s Information
I am an adult of sound mind, residing at 2354 Bel Meadow Drive San Francisco, CA 90017, and I am submitting this affidavit in support of my passport application.
Purpose of Affidavit
This affidavit is provided to attest to the following facts required for my passport application:
a. Personal Identification: I hereby declare that my full legal name is Miranda Ryans, and I am known by no other names.
b. Citizenship: I affirm that I am a citizen of the United States, and I have provided documentation to support my citizenship status.
c. Date of Birth: My date of birth is November 5, 2030, and I have provided documentation to verify my date of birth.
d. Identity Verification: I acknowledge that the documents submitted for my passport application, including identification and proof of residency, are true and accurate copies of the originals.
e. Supporting Documents: I have provided and am submitting with this affidavit the following documents: Driver's License.
Sworn Declaration
I declare under penalty of perjury that the statements made in this affidavit are true and correct to the best of my knowledge, and I understand that any false statements may result in the denial of my passport application.
Signature:
Miranda Ryans
Affiant
Notary Public Section:
Subscribed and sworn to before me this 19th day of November, 2050.
[Your Name]
Notary Public
Notary Public's Commission Number:
My Commission Expires: November 29, 2060
Seal:
[Seal]
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