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AFFIDAVIT OF IDENTITY
STATE OF ____________________
COUNTY OF ____________________
I/We, ____________________, born in ____________________, in the county of
____________________ in the state of ____________________ and being duly
sworn, do hereby depose and attest that:
1. My full and legal name is ____________________
2. My current address is ____________________
3. My Social Security number ____________________
4. As proof of identity, I have presented the public notary the following photo
ID: ____________________
5. I understand that the purpose of this document is to demonstrate that I am
the proven client of ____________________
6. I understand that the falsification of this document is a felony offense, and I
swear that all of the aforementioned information is true.
____________________
AFFIANT
Subscribed and sworn to before me this ____________________ day of
____________________ 20 ____________________
____________________
(Notary Public),
____________________ County.
My commission expires ____________________ 20 ____________________

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Affidavit of Identity Form for Legal Name and Address Verification

  • 1. AFFIDAVIT OF IDENTITY STATE OF ____________________ COUNTY OF ____________________ I/We, ____________________, born in ____________________, in the county of ____________________ in the state of ____________________ and being duly sworn, do hereby depose and attest that: 1. My full and legal name is ____________________ 2. My current address is ____________________ 3. My Social Security number ____________________ 4. As proof of identity, I have presented the public notary the following photo ID: ____________________ 5. I understand that the purpose of this document is to demonstrate that I am the proven client of ____________________ 6. I understand that the falsification of this document is a felony offense, and I swear that all of the aforementioned information is true. ____________________ AFFIANT Subscribed and sworn to before me this ____________________ day of ____________________ 20 ____________________ ____________________ (Notary Public),
  • 2. ____________________ County. My commission expires ____________________ 20 ____________________