Free Notary Affidavit For Address Proof Template


Notary Affidavit For Address Proof

I. Affidavit Details

  • Affidavit Date: [Date]

  • Affiant: [Your Name]

  • Affiant's Address: [Your Company Address]

  • Notary Public: [Notary Public Name]

  • Notary Public Commission Number: [Commission Number]

II. Statement of Affirmation

I, [Your Name], who currently resides at [Your Company Address], do hereby solemnly affirm and strictly profess that:

III. Residence Details

  • My residence is located at the following address: [Residence Address].

  • I have been residing at this address since [Residency Start Date].

  • The nature of my occupancy at this address is [Ownership/Rental/Lease].

IV. Address Verification

  • I confirm that the aforementioned address serves as my primary place of residence.

  • I receive official correspondence, and bills, and conduct other personal affairs at this address.

  • I have provided the above information to establish proof of my residency.

V. Additional Information

  • I declare under penalty of perjury that the foregoing is true and correct.

  • This affidavit is executed to verify my residential address.

VI. Signature and Notarization

This document has been signed and affirmed by the affiant, who is identified as [Your Name], on the specified date of [Date].

[Your Name]

VII. Notary Public's Certification

Subscribed and sworn to before me, a Notary Public, on this [Date].


[Notary Public's Seal]
[Notary Public's Printed Name]
[Notary Public's Commission Expiry Date]

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