Georgia Affidavit of Residency Template
This document serves as an Affidavit of Residency within the State of Georgia, pursuant to the provisions outlined in the Georgia Code. It is a sworn statement used to affirm the resident status of an individual residing within the state's boundaries.
PERSONAL INFORMATION
Full Name: ___________________________________
Date of Birth: ________________________________
Current Residential Address: _____________________________________________________
City: _________________________ State: Georgia Zip Code: ____________
Phone Number: _____________________________
Email Address: ___________________________________
STATEMENT OF RESIDENCY
I, _________________________ (Full Name), hereby declare under penalty of perjury that the information provided above is true and correct to the best of my knowledge. I affirm that I am a legal resident of the State of Georgia, residing at the address mentioned above. I understand that this affidavit is made for the purpose of providing proof of Georgia residency and shall be used where applicable by state law.
RELEVANT DOCUMENTS
- Copy of Georgia Driver's License or State ID
- Utility Bill (within the last two months)
- Lease Agreement or Property Deed
- Other document verifying Georgia residency
ACKNOWLEDGEMENT
This affidavit is executed willingly, without any duress or coercion, and with a complete understanding of its implications, including the potential legal consequences for providing false information.
Sworn to and signed before me, a Notary Public, on this ____ day of ___________, 20____.
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Signature of Affiant
__________________________________
Printed Name of Affiant
NOTARY PUBLIC
State of Georgia
County of ________________
Subscribed and sworn to (or affirmed) before me this ____ day of ___________, 20____, by _______________________________ (name of affiant), proved to me on the basis of satisfactory evidence to be the person who appeared before me.
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Signature of Notary Public
__________________________________
Printed Name of Notary Public
My Commission Expires: _______________