Affidavit Of Residence

AFFIDAVIT OF RESIDENCE

STATE OF ____________________
COUNTY OF ____________________

I, ____________________, born in ____________________, aged ____________________ and being duly sworn, do hereby depose and attest that:

1. I am a resident of the city of ____________________, in ____________________ County, in the state of ____________________.
2. My address is ____________________
3. I have been a full-time resident since the date of: ____________________
4. The following people reside with my at the aforementioned address and can attest to the length of my residency there:
1. Name: ____________________ DOB: ____________________ Relationship to Me: ____________________
2. Name: ____________________ DOB: ____________________ Relationship to Me: ____________________
3. Name: ____________________ DOB: ____________________ Relationship to Me: ____________________

____________________
AFFIANT

Subscribed and sworn to before me this ____________________ day of ____________________ 20 ____________________

____________________
(Notary Public),

____________________ County.

My commission expires ____________________ 20 ____________________