Kentucky Affidavit of Identity

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS] City of [CITY NAME], State of Kentucky, being duly sworn, hereby depose and state as follows:

Statement of Facts

1. I am the individual named above and I am of legal age to execute this Affidavit.

2. I understand that I am required to provide proof of identity when opening a bank account or conducting financial transactions at [BANK NAME], located at [BANK ADDRESS].

3. I hereby affirm that the following information provided is true and accurate to the best of my knowledge:

   • Date of Birth: [YOUR BIRTH DATE]

   • Social Security Number: [YOUR SSN]

   • Driver's License Number: [YOUR DL NUMBER]

4. I understand that any false statements made herein are punishable under the laws of the State of Kentucky.

5. I consent to the use of this Affidavit by [BANK NAME] for the purpose of verifying my identity in accordance with applicable laws and regulations.

6. I understand that [BANK NAME] may rely on the information provided in this Affidavit to open a bank account or facilitate financial transactions on my behalf.

7. I hereby certify that I am the person whose identity is being affirmed in this Affidavit.

8. I understand that this Affidavit may be kept on file by [BANK NAME] for record-keeping purposes.

Signature

[YOUR NAME]

Notarization

Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]

Notary Public, State of Kentucky

My Commission Expires:                               

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