Illinois Affidavit of Residence

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS] and of legal age, hereby make this affidavit in the capacity to apply for a state identification card with the Illinois Secretary of State.

Statement of Facts

1. I have been a resident of Illinois for at least [NUMBER OF YEARS] years.

2. My current address, as stated above, is my primary and permanent residence.

3. I do not maintain a residence in any other state.

4. I am a US citizen or a lawful permanent resident.

Sworn Oath

I declare under penalty of perjury under the laws of the State of Illinois that the foregoing is true and correct. I understand that any false statements made herein are punishable by law. I understand that this affidavit may be submitted as evidence of my residency to obtain a state identification card.

[YOUR NAME]

Date: [DATE SIGNED]

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Subscribed and sworn to before me on this [DAY] day of [MONTH], [YEAR].

[NOTARY STAMP]

Notary Public

My Commission Expires: [EXPIRATION DATE]

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