Idaho Affidavit of Residency
This document is a sworn affidavit for verifying residency within the State of Idaho. It is made pursuant to the pertinent laws of Idaho governing residency requirements and affidavits. Completing this affidavit accurately and truthfully establishes the residency status of the individual for various legal, educational, and institutional requirements within Idaho.
PERSONAL INFORMATION
Full Legal Name: _________________________________________________________
Date of Birth: ________________________
Idaho Driver’s License or Identification Number: _____________________________
Physical Residence Address: ________________________________________________
City: _____________________________ State: Idaho Zip Code: ________________
Mailing Address (if different from Physical Address): ___________________________
________________________________________________________________
RESIDENCY INFORMATION
1. Period of Continuous Residence in Idaho: From ______/______/______ to present.
2. Reason for Establishing Residency in Idaho:
________________________________________________________________
________________________________________________________________
3. Additional Residency Information: (Please list any documents or additional information supporting your claim of residency in Idaho.)
- Document Type: __________________________________________ Date: ______/______/______
- Document Type: __________________________________________ Date: ______/______/______
- Document Type: __________________________________________ Date: ______/______/______
SWORN DECLARATION
I, ___________________________________________ [Affiant’s Full Legal Name], swear or affirm under penalty of perjury under the laws of the State of Idaho that the information provided in this affidavit is true and correct to the best of my knowledge, belief, and understanding. I understand that providing false information on this affidavit can result in penalties, including but not limited to fines and imprisonment.
Date: ______/______/______
Signature: ___________________________________________
SUBSCRIPTION AND ACKNOWLEDGMENT
State of Idaho
County of ________________________
On this _____ day of __________, 20____, before me personally appeared _________________________ [Affiant’s Full Legal Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public: ___________________________
My Commission Expires: __________________