FEDERAL AFFIDAVIT
Introduction
I, [Your Name], residing at [Your Address], do hereby solemnly affirm and declare the following facts to be true and correct to the best of my knowledge, under penalty of perjury:
Statement of Facts
Purpose of Affidavit: I am executing this affidavit in connection with my application for [Specify the Government Benefit or Permit], to provide accurate information to the relevant authorities.
Identity and Personal Information: I affirm that I am [Your Age] years old, a citizen of the United States, and my Social Security Number is [Your SSN]. My date of birth is [Your Date of Birth].
Residency and Address: I reside at [Your Current Address], which has been my primary residence for the past [Number of Years]. I confirm that this address is accurate and up-to-date.
Employment Status: I am currently employed as a [Your Job Title] at [Your Employer's Name], located at [Employer's Address]. I have been employed in this position since [Start Date].
Financial Information: My annual income for the past year was [$Amount], as evidenced by attached pay stubs and tax returns. I do not have any outstanding debts or obligations that would affect my eligibility for the government benefit or permit.
Criminal History: I affirm that I have never been convicted of a felony or misdemeanor offense, and there are no pending criminal charges against me. I have attached a copy of my criminal record check for verification purposes.
Sworn Oath
I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct.
Signature
[Your Name]
Affiant
Sworn to and subscribed before me on this [Date] day of [Month, Year].
Notary Public
[Notary Seal or Stamp]
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