Utah Affidavit of Identity

STATE OF UTAH
COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], residing at [YOUR ADDRESS], City of [City Name], County of [County Name], State of Utah, under penalty of perjury, do hereby affirm and state the following:

Statement of Facts:

1. I, [YOUR NAME], born on [DOB], hereby affirm my identity as the subject of this affidavit.

2. My Social Security Number, which is provided upon request based on specific requirements, serves as an additional layer of identification.

3. I reside at [YOUR ADDRESS], a fact that can be further corroborated by my current Driver’s License or State ID, numbered [License/ID Number].

4. For further verification or communication, I can be reached at my contact number, [Your Contact Number], or via email at [Your Email Address].

5. This information is provided under oath, with full understanding of its implications and with an assurance of its accuracy and completeness.

6. This affidavit is made for the purpose of opening a new financial account/updating records/recovering access to financial services with [Name of Financial Institution/Bank], where standard identification documents are not available or sufficient.

Statement of Identity:

I hereby declare that I am the individual named in the personal information provided above and that all information provided in this affidavit is true, correct, and complete to the best of my knowledge.

I understand that providing false information on this affidavit could result in penalties under the law.

Acknowledgement:

I understand that this Affidavit of Identity is being provided to [Name of Financial Institution/Bank] in conjunction with the requirements for opening a new account/updating records/recovering access to financial services and may be relied upon by said institution and any other legal or governmental entities involved in this process.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this [Day] of [Month], [Year].

Signature:

[Your Full Name]

Subscribed and sworn to (or affirmed) before me on this [Day] of [Month], [Year], by [YOUR NAME], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

[NOTARY PUBLIC NAME]

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