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The template collects name, street address, city/state abbreviation, zip code, and the date residence began, then requires acknowledgement to the intended recipient. It includes a section for witness acknowledgement with signatures, printed names, and dates, followed by a notary acknowledgment capturing state and county, notary details, appearance verification language, and a penalty-of-perjury 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\u0014[CITY, STATE ABBREVIATION OF AFFIANT]\u0015\nZip \u0013 FORMTEXT \u0014[ZIP CODE OF AFFIANT]\u0015\nDate \u0013 FORMTEXT \u0014[DATE OF AFFIDAVIT]\u0015\nTo Whom This May Concern,\nI, \u0013 FORMTEXT \u0014[NAME OF AFFIANT]\u0015, formally acknowledge living at the street address of \u0013 FORMTEXT \u0014[STREET ADDRESS OF AFFIANT]\u0015, City of \u0013 FORMTEXT \u0014[CITY OF AFFIANT]\u0015, State of \u0013 FORMTEXT \u0014[STATE OF AFFIANT]\u0015 since \u0013 FORMTEXT \u0014[DATE RESIDENCE BEGAN]\u0015.\nI have attached the following documents for your consideration: \u0013 FORMTEXT \u0014[DESCRIPTION OF DOCUMENTS]\u0015\nFurthermore, I swear and affirm under penalty of perjury that the facts set forth in this statement are true and accurate.\nSincerely,\n\u0013 HYPERLINK \"https://esign.com/\" \u0014_____________________\u0015\nWitness Acknowledgment\nI/We, as witness(es) to the aforementioned claims made by \u0013 FORMTEXT \u0014[NAME OF AFFIANT]\u0015 and acknowledge their residency status.\nWitness Signature \u0013 HYPERLINK \"https://esign.com/\" \u0014_____________________\u0015 Date _________________\nPrint Name \u0013 FORMTEXT \u0014[NAME OF WITNESS]\u0015\nWitness Signature \u0013 HYPERLINK \"https://esign.com/\" \u0014_____________________\u0015 Date _________________\nPrint Name \u0013 FORMTEXT \u0014[NAME OF WITNESS]\u0015\nNotary Acknowledgment\nA Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.\nState of \u0013 FORMTEXT \u0014[STATE OF NOTARY]\u0015\nCounty of \u0013 FORMTEXT \u0014[COUNTY OF NOTARY]\u0015\nOn \u0013 FORMTEXT \u0014[DATE]\u0015, before me, \u0013 FORMTEXT \u0014[NAME OF NOTARY PUBLIC]\u0015, Notary Public, personally appeared \u0013 FORMTEXT \u0014[NAME OF AFFIANT]\u0015 who proved to me on the basic of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.\nI certify under PENALTY OF PERJURY under the laws of in the State of \u0013 FORMTEXT \u0014[STATE OF NOTARY]\u0015 that the foregoing paragraph is true and correct.\nWITNESS my hand and official seal.\nSignature \u0013 HYPERLINK \"https://esign.com/\" \u0014_____________________\u0015\nPlace Notary Seal Above                                                                             Print Name \u0013 FORMTEXT \u0014[NAME OF NOTARY PUBLIC]\u0015","cbCaitO3IJRFS8Qi","https://ap.wps.com/l/cbCaitO3IJRFS8Qi","docx",63250,"English","# Residence Statement Details\n# Witness Acknowledgment\n# Notary Acknowledgment","[{\"question\":\"What information does the affidavit require from the affiant?\",\"answer\":\"It requires the affiant’s name, street address, city/state abbreviation, zip code, the date residence began, and the date of the affidavit.\"},{\"question\":\"What documents does the template ask the affiant to attach?\",\"answer\":\"It includes a line for describing attached documents provided for the recipient’s consideration.\"},{\"question\":\"What does the notary acknowledgment section certify?\",\"answer\":\"It states that the notary verifies the signer’s identity and includes the required state/county details, notary information, signature/official seal, and a penalty-of-perjury certification.\"}]","Affidavit of Residence - Residence Statement and Notary Acknowledgment | DOCX",1788325468]