California Affidavit of Residence

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], do solemnly affirm and declare under penalty of perjury under the laws of the State of California, that the following statements are true and correct to the best of my knowledge and belief:

Statement of Facts

1. I am a legal resident of the State of California.

2. I have been residing at the aforementioned address since [COMMENCEMENT OF RESIDENCY DATE].

3. I am applying for government benefits, and it is a requirement to provide proof of residency.

4. I understand that providing false information on this affidavit may result in legal consequences.

5. I hereby authorize any government agency or official to verify the information provided in this affidavit.

6. I understand that this affidavit may be used as evidence in any legal proceedings related to my application for government benefits.

Signature

[YOUR NAME]

Subscribed and sworn to before me on this [DATE], by [YOUR NAME], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

[NOTARY PUBLIC'S NAME]

Notary Public for the State of California

My Commission Expires:                               

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