Florida Affidavit of Residency
State of Florida
County of ____________
Before me, the undersigned authority, personally appeared:
Name: ____________________________
Date of Birth: ____________________________
Address: ____________________________
_________________________________________
(City, State, Zip Code)
This affidavit is made to establish residency in the State of Florida, pursuant to applicable Florida laws.
The declarant affirms the following:
- I am a resident of the State of Florida.
- I currently reside at the address listed above.
- I intend to remain at this residence for the foreseeable future.
- I have lived at this address since ____________ (insert date).
I declare under penalty of perjury that the foregoing is true and correct. I am aware that falsifying information may have legal consequences.
Signed this ______ day of ____________, 20____.
Signature: ____________________________
Printed Name: ____________________________
Witnessed by:
Name: ____________________________
Signature: ____________________________
Date: ____________________________
Notary Public:
Name: ____________________________
Commission Number: ____________________________
My Commission Expires: ____________________________