Primary Residence Affidavit
Affiant Introduction
I, [YOUR NAME], residing at [YOUR ADDRESS], do hereby declare and affirm under penalty of perjury, being duly sworn, that the following statements are true and correct to the best of my knowledge and belief:
Statements
I affirm that [YOUR ADDRESS] is my primary residence, and I have resided at this address continuously since [RESIDENCY DATE].
I do not maintain a primary residence at any other location.
I understand that this affidavit is being executed for the purpose of verifying my primary residence, and I affirm that all information provided herein is accurate and complete.
I understand that providing false information on this affidavit may result in legal consequences, including but not limited to perjury charges.
I consent to the use of this affidavit by the relevant government agency for the purpose of determining my eligibility for government benefits.
I understand that I may be required to provide additional documentation or information to verify my residency as part of the application process for government benefits.
Signature
Signed and sworn before me on this [DATE].
[YOUR NAME]
[NOTARY PUBLIC NAME]
[NOTARY PUBLIC COMMISSION NUMBER]
[NOTARY PUBLIC EXPIRY DATE]
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