Louisiana Affidavit of Residency
This affidavit is designed to declare the residency of an individual in accordance with the relevant regulations and requirements set forth by the state of Louisiana. It serves as a formal statement to verify the residential address of the affiant for various legal, educational, or financial purposes.
STATE OF LOUISIANA
PARISH OF _______________
BEFORE ME, the undersigned authority, duly qualified in and for the jurisdiction aforesaid, personally appeared __________________ (Name of Affiant), Who, after being duly sworn, deposes and says:
1. My name is _____________________________, I am of sound mind, capable of making this affidavit, and personally acquainted with the facts herein stated.
2. My current residential address is _________________________________________________, located in the Parish of ____________, State of Louisiana.
3. I have been residing at the above address for ________ years/months.
4. This affidavit is made for the purpose of ________________________________________, under the belief that I must establish residency in the State of Louisiana for said purpose.
5. I understand that providing false information on this affidavit can result in penalties under the law. I declare that the information provided herein is, to the best of my knowledge, true and correct.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on this day of __________, 20____.
______________________________
(Signature of Affiant)
Subscribed and sworn to before me, this __ day of ___________, 20__.
______________________________
(Signature of Notary Public)
NOTARY PUBLIC, State of Louisiana
My Commission Expires: ______________