Michigan Affidavit of Identity
Michigan Affidavit of Identity
Introduction
I, [YOUR NAME], of legal age, am competent and capable of making this affidavit.
Statement of Facts
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I am the individual named in this affidavit.
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I am claiming benefits from [BENEFIT PROVIDER NAME] for [REASON OF CLAIMING BENEFITS].
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My identification information is as follows:
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Full Name: [YOUR NAME]
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Date of Birth: [YOUR DATE OF BIRTH]
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Address: [YOUR ADDRESS]
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Social Security Number: [YOUR SOCIAL SECURITY NUMBER]
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Driver's License/State ID Number: [YOUR DRIVER'S LICENSE/STATE ID NUMBER]
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Continue as needed.
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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]
