SAMPLE RENT AFFIDAVIT

I, [Your Name], residing at                               , do hereby solemnly affirm and declare as follows:

1. I am the tenant of the property located at                                                                .

2. I have been renting this property since                                                                     .

3. The monthly rent for this property is                             .

4. I confirm that I have paid all the rent due for                                                                   .

5. The rent payments have been made to                     , the landlord of the property.

6. Signature and Notarization

Signed on this day                                   , at                                           .

[Your Name]
Affiant

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Notary Public:

Subscribed and sworn to (or affirmed) before me on this                                 , by [Your Name], who proved to me based on satisfactory evidence to be the person who appeared before me.

Notary Public
My Commission Expires: __________

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This affidavit is made to verify the rental status for a housing assistance application.

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