Affidavit of Identity
State of [State Name]
County of [County Name]
This Affidavit of Identity, executed on this [Day] day of [Month], [Year], is made under the laws of the state of [State Name].
I, [Your Full Legal Name], residing at [Your Address], do hereby provide the following information for the purpose of affirming my identity:
- Full Legal Name: [Your Full Legal Name]
- Date of Birth: [Your Date of Birth]
- Social Security Number: [Your Social Security Number]
- Current Address: [Your Current Address]
- Former Address: [Your Former Address] (if applicable)
- Phone Number: [Your Phone Number]
I declare under penalty of perjury that the foregoing is true and correct. I am providing this affidavit to verify my identity for [Specific Purpose].
Additional details regarding my identity:
- Driver’s License Number: [Your Driver’s License Number]
- Passport Number: [Your Passport Number] (if applicable)
- Any Other Identification: [Describe Any Other Identification]
Signed this [Day] day of [Month], [Year].
Signature: _______________________________
Printed Name: [Your Full Legal Name]
Notary Public:
State of [State Name]
County of [County Name]
Subscribed and sworn to before me this [Day] day of [Month], [Year].
Notary Signature: _____________________________
My Commission Expires: [Expiration Date]