Free Mississippi Affidavit of Residence Template

Mississippi Affidavit of Residence

Introduction

I, [YOUR NAME], a resident of [YOUR ADDRESS], MS [ZIP CODE], do solemnly swear or affirm under penalty of perjury that the following statements are true and correct:

Statement of Facts

  1. I am over the age of eighteen (18) years and am competent to make this affidavit.

  2. I have been a resident of the State of Mississippi for a continuous period exceeding [DURATION OF RESIDENCY] years, and my primary residence is located at the address mentioned above.

  3. I have resided at the aforementioned address since [RESIDENCY START DATE], and I have not maintained residency elsewhere during this period.

  4. I understand that this affidavit is being executed for the purpose of obtaining a driver's license or state identification card from the appropriate government agency, and I affirm that all information provided herein is accurate to the best of my knowledge.

  5. I acknowledge that providing false information in this affidavit may subject me to penalties under the law, including but not limited to perjury charges.

  6. I understand that I may be required to provide additional documentation or evidence of residency as requested by the issuing authority.

Signature

[YOUR NAME]

Notarization

Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]

Notary Public

My Commission Expires:                               

Please ensure that you sign the affidavit in the presence of a notary public or other authorized official.

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