Affidavit of Residency
  • Affidavit Details
    • Who is Affiant?
    • Affidavit Details
    • General Information
  • Complete the Document
    • Format & Signatures

Who is Affiant?

  • Indicate the full name of an affiant (a person, who issues this affidavit):

  • Indicate the Affiant's date of birth:

  • Indicate the affiant's current residential address:

  • The Affiant makes this document in order to:

Affidavit Details

  • For how long has the Affiant resided at the current residential address provided above?

  • Are there any other individuals who reside with the Affiant at the residential address provided above?

    !

    Other individuals may include family members (e.g., a spouse, children) or roommates.

  • List the full names of the individuals residing with the Affiant and specify their relationship to the Affiant:

  • Provide the full name of the deceased individual whose residency the Affiant is confirming in this document:

  • Specify the date on which the deceased individual passed away:

  • Indicate the full residential address of the deceased individual:

    !

    The address details must include street name and house number, ZIP code, county name.

  • Select the state of residential address of the deceased individual:

  • Specify the period of time prior to their death during which the deceased individual resided at the address provided above:

General Information

  • Specify the type of identification document the Affiant presents to the notary to verify their identity:

    !

    The affiant may present either of the following documents:

    – U.S. Passport;
    – U.S. Passport Card;
    – State-Issued Driver’s License;
    – State-Issued Identification Card;
    – U.S. Military ID Card etc.

  • Describe the reason the Affiant is executing this document:

  • Indicate the name of the county where this document will be notarized:

  • Select the state, where this document will be notarized:

  • Do you want to add a signature?

  • Affiant's signature:

Select a template's format:

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