Louisiana Affidavit of Residence

STATE OF LOUISIANA
PARISH OF [Parish Name]

Introduction:

I, [YOUR NAME], being duly sworn, depose and say:

Statement of Facts:

1. I, [YOUR NAME], born on [Date of Birth], currently reside at [YOUR ADDRESS].

2. I can be reached at [YOUR TELEPHONE NUMBER] or via email at [YOUR EMAIL ADDRESS].

3. This information is provided to affirm my identity and current residence in the state of Louisiana.

4. I hereby declare that I am a legal resident of the State of Louisiana, residing at the above address. I have lived at this address for [Length of Time at Current Address], starting from [Move-In Date].

5. This affidavit is made for the purpose of obtaining a Louisiana Driver's License/State ID Card and for proving my residence as required by the Louisiana Office of Motor Vehicles (OMV).

Supporting Documents:

I understand that this affidavit must be accompanied by additional documentation proving my residency as per the requirements of the Louisiana OMV. I have attached the following documents as proof of my residence:

• Utility Bill

• Lease Agreement

Oath:

I affirm that all statements made in this affidavit are true and correct to the best of my knowledge and belief. I understand that providing false statements within this affidavit can result in penalties under the law.

Signature:

[YOUR NAME]

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

[NOTARY PUBLIC NAME]

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