Connecticut Affidavit of Identity

Introduction

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

Statement of Facts

1. I am of legal age and competent to make this affidavit.

2. My full name is [YOUR NAME] and I have never legally changed my name.

3. My date of birth is [YOUR BIRTH DATE], and I was born in [YOUR BIRTH PLACE].

4. My current residential address is [YOUR ADDRESS], located in the City of [CITY NAME], State of Connecticut, with ZIP code [ZIP CODE].

5. My Social Security Number is [YOUR SSN].

6. I am a citizen of the United States of America.

7. I have never been convicted of a felony, nor am I currently incarcerated or on parole.

8. I solemnly affirm that all the information provided in this affidavit is true and correct to the best of my knowledge and belief.

9. I understand that making a false statement in this affidavit may subject me to penalties under the law.

Signature

[YOUR NAME]

Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]

Notary Public, State of Connecticut

My Commission Expires:                               

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