Louisiana Affidavit of Residency
State of Louisiana
Parish of __________
Before me, the undersigned authority, personally came and appeared:
Name of Affiant: ______________________________________
Address: _____________________________________________
City, State, Zip Code: ________________________________
Phone Number: ________________________________________
Who, being duly sworn, deposes and says:
- I am a resident of the State of Louisiana.
- I have lived at the above address for the past __________ months/years.
- I am providing this affidavit to confirm my residency for the purpose of __________.
Further, Affiant says not.
In accordance with Louisiana law, this affidavit is executed to affirm my residency status and may be used for any legal purpose required.
Signed this ____ day of __________, 20__.
Signature of Affiant: __________________________________
SWORN TO AND SUBSCRIBED before me this ____ day of __________, 20__.
Notary Public: ______________________________________
My Commission Expires: _______________________________