Florida Affidavit of Residency Template
This document serves as a sworn statement, affirming the residency of the individual named below in the state of Florida, in accordance to the Florida Residency and Eligibility Requirements. This affidavit is made for the purpose of providing proof of residency for various legal, educational, or financial services within the state.
Please fill in the required fields to complete this Florida Affidavit of Residency.
STATE OF FLORIDA
COUNTY OF ___________________
I, ___________________, being duly sworn, depose and say:
- Full Legal Name: __________________________________________________
- Date of Birth: _____________
- Address of Principal Residence: __________________________________________
- City, State, ZIP Code: ________________, FL, ________
- Length of Residency at the above address: _____________ years/months.
- Contact Phone Number: ____________________
- Florida Driver’s License or Florida Identification Card Number (if applicable): ____________________
- I declare that I have lived in the state of Florida continuously for at least the past 12 months. I intend to maintain Florida as my permanent home.
- I am providing this affidavit to serve as proof of my residency in Florida. I understand that this affidavit is made for the purpose of securing residency status for legal, educational, or financial purposes within the state of Florida.
- I understand that providing false information on this affidavit can result in legal penalties, including but not limited to, fines or imprisonment.
I hereby declare under penalty of perjury that the information provided in this affidavit is true and correct to the best of my knowledge and belief.
Executed on this ___ day of _________, 20__.
__________________________________
Signature of Affiant
Subscribed and sworn to (or affirmed) before me this ___ day of _________, 20__, by ____________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
__________________________________
Notary Public
My commission expires: _____________