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Create a Proof of Residency Affidavit

Enter the affiant, resident, address, residency period, evidence, and purpose details. Review the affidavit before downloading the PDF.

General template only. This is a general-purpose affidavit. Schools, agencies, banks, licensing offices, and other recipients may require specific wording or supporting documents.

Document information

Affiant Information

The affiant is the person making the sworn statement.
Use the affiant’s current residential address.
Optional contact information for the receiving organization.
Examples: self, landlord, homeowner, parent, spouse, or family member.

Residency Information

Enter the person whose residence is being confirmed.
Include street, city, state, and ZIP code.
Use the best accurate start date available.
Examples: tenant, household member, owner, or dependent.

Evidence and Purpose

List leases, utility bills, identification, mail, or other evidence.
Examples: school enrollment, licensing, banking, benefits, immigration, or another administrative purpose.
Add only facts the affiant personally knows to be true.
Enter the date the affidavit will be signed.

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