Affidavit of Residence

You may need an affidavit of residence in addition to other supporting documents to prove residency at an address.

Presenting a utility bill in your name or insurance policy on the dwelling may prove that you are the landlord or owner but does not necessarily prove that you live there.

Conversely, as a tenant you may not have any official accounts in your name linking you to a property or dwelling.



arrow marking residence



The requirement therefore, by a local school for example, would be to ask for an Affidavit i.e. a statement made under oath or attested to under penalty of perjury to certify your residency. Within your affidavit you can then refer to and annex (attach) other supporting documents.

For ease of use we've also compiled an Affidavit of Domicile to be used when certifying the address of a person at the time of death. It is important to state your full residential address on both these forms.

Note: You can easily edit our example of an affidavit, add relevant statements and delete those not applicable. Take care to keep your paragraphs and attachments numbered and marked chronologically.

Click Here for additional guidelines and links to more specific forms.


Copyright Notice



Affidavit of Residence

I, the undersigned __________________(full legal name) do hereby make oath and say that:-

1. I am a full-time resident since the ___ day of ____________ 20___ of the dwelling located at:



and I do not maintain a separate primary residence elsewhere.

2. The following persons are full time residents with me:

__________________
Full Name

__________________
Full Name

__________________
Full Name

__________________
Date of Birth

__________________
Date of Birth

__________________
Date of Birth

__________________
Relationship to Me

__________________
Relationship to Me

__________________
Relationship to Me


3. As verification I annex hereto, marked "A" a true copy of my _________________ (Insurance policy, telephone/electric/gas bill, Tax bill etc.)

OR

3. As tenant or co-habitant I annex hereto, marked "A" a true copy of my lease agreement.

_____________________
FULL LEGAL NAME

I confirm that the Deponent who is personally known to me or who has produced ______________ as identification declared that the contents of this Affidavit are true and correct under penalties of perjury. Thus signed and sworn to before me on this _____ day of _______________ 20___ at ______________________ State of ______________________.

_____________________
NOTARY PUBLIC

My commission expires: _____________________



***

Additional / Alternative Wording:

  • If you are not the parent of any children listed, you could add the following:

    4. I annex hereto, marked "B", a true copy of the court order granting me legal custody of the minors listed in 2. above.

If you are a landlord and need a free lease agreement and other landlord forms, please visit our page with templates for Real Estate.





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