Notary Proof Of Residence Form

I. Introduction

This Notary Proof of Residence Form Template is intended to serve as a legal document to verify the residential address of [Individual's Full Name], hereinafter referred to as the "Resident," for the purpose of providing proof of address for legal or administrative matters.

II. Resident's Information

1. Resident's Full Name: [Resident's Full Name]

2. Resident's Current Address: [Resident's Current Address]

3. Date of Birth: [Date of Birth]

4. Identification Type: [Type of Identification (e.g., Driver's License, Passport)]

5. Identification Number: [Identification Number]

6. Contact Number: [Contact Number]

7. Email Address: [Email Address]

III. Statement of Residence

I, [Resident's Full Name], hereby certify under penalty of perjury that the information provided above is true and accurate to the best of my knowledge. I affirm that [Resident's Full Name] currently resides at the address mentioned and that I am the lawful resident of the said address.

IV. Notary Public Certification

1. Notary Public's Name: [YOUR NAME]

2. Notary Public's Commission Number: [Notary Public's Commission Number]

3. Notary Public's Jurisdiction: [Notary Public's Jurisdiction]

4. Date of Notarization: [Date of Notarization]

V. Affirmation by Notary Public

I, the undersigned Notary Public, certify that on the date mentioned above, [Resident's Full Name] personally appeared before me, provided the identification mentioned above, and affirmed the truthfulness of the information provided in this document.

VI. Signature

Notary Public Name: [YOUR NAME]

[DATE SIGNED]

Notary Seal (if applicable): [SEAL]

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