Free Michigan Affidavit of Identity Template

Michigan Affidavit of Identity

Introduction

I, [YOUR NAME], of legal age, am competent and capable of making this affidavit.

Statement of Facts

  1. I am the individual named in this affidavit.

  2. I am claiming benefits from [BENEFIT PROVIDER NAME] for [REASON OF CLAIMING BENEFITS].

  3. My identification information is as follows:

    • Full Name: [YOUR NAME]

    • Date of Birth: [YOUR DATE OF BIRTH]

    • Address: [YOUR ADDRESS]

    • Social Security Number: [YOUR SOCIAL SECURITY NUMBER]

    • Driver's License/State ID Number: [YOUR DRIVER'S LICENSE/STATE ID NUMBER]

    • Continue as needed.

Sworn Oath

I hereby declare and affirm that the foregoing statements are 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]

Date: [DATE OF SIGNING]


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

[NOTARY PUBLIC STAMP]

Notary Public: [NOTARY PUBLIC NAME]

My Commission Expires: [COMMISSION EXPIRY DATE]

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