Arkansas Affidavit of Identity

Arkansas Affidavit of Identity

Introduction

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

Statement of Facts

  1. I am a citizen of the United States of America and a resident of the State of Arkansas.

  2. I am applying for a passport for [STATE THE PURPOSE].

  3. My full name is [YOUR NAME], and I was born on [YOUR DATE OF BIRTH] in [YOUR PLACE OF BIRTH].

  4. My current address is [YOUR CURRENT ADDRESS].

Sworn Oath

I solemnly swear that the information provided in this affidavit is true and correct to the best of my knowledge and belief. I understand that any false statements made herein are punishable by law.

[YOUR NAME]

Affiant


Notary Acknowledgment

State of Arkansas

County of [COUNTY NAME]

On this [DATE] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal.

Notary Public

My commission expires: [EXPIRATION DATE]

[NOTARY SEAL]

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