Missouri Affidavit of Identity
Missouri Affidavit of Identity
STATE OF MISSOURI
COUNTY OF [County Name]
Introduction:
I, [YOUR NAME], of [YOUR ADDRESS], being duly sworn, depose and state:
Statement of Facts:
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My name is [YOUR NAME], and I am a legal resident of [City, State Name].
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My date of birth is [Date of Birth].
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I have identified an error in my official records/documents.
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The incorrect information is as follows: [Detailed Description of Incorrect Information].
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The correct information that should appear on my official records/documents is as follows: [Detailed Description of Correct Information].
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The reason for the discrepancy is [Reason for the discrepancy].
Supporting Documents:
I have attached hereto copies of supporting documents that verify my identity and support the correction of my official records/documents. These include [List of Documents].
Sworn Statement:
I hereby declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.
Executed on this [Day] of [Month], [Year].
Signature:
[YOUR NAME]
Subscribed and sworn to before me on this [Day] of [Month], [Year], by [YOUR NAME], proved to me on the basis of satisfactory evidence to be the person who appeared before me.
[NOTARY PUBLIC NAME]
