Georgia Affidavit of Residency
This Affidavit of Residency is executed in accordance with the laws of the State of Georgia. It serves to affirm the residential address of the undersigned individual.
Affidavit
I, [Full Name], residing at [Current Address], hereby affirm under oath and penalty of perjury that the information provided herein is true and accurate to the best of my knowledge.
Personal Information:
- Full Name: ___________________________
- Date of Birth: _______________________
- Driver's License Number: ____________
- Social Security Number: _____________
Current Address:
_____________________________
_____________________________
_____________________________
Duration of Residency:
- Since: ___________________
- To: ________________________ (if applicable)
Affirmation:
I affirm that I have continuously resided at the address mentioned above and that this statement is made for purposes of [Specify Purpose] as required by Georgia law.
Subscribing Signature:
_____________________________
(Signature of Affiant)
Printed Name:
_____________________________
Date:
_____________________________
Notary Public:
State of Georgia
County of __________________
Subscribed and sworn before me on this _____ day of ____________, 20__.
_____________________________
(Signature of Notary Public)
My Commission Expires: _______________