Affidavit of Residency

An affidavit of residency is a formal statement acknowledging that an individual occupies a specified address. Once signed and notarized, it can be presented to agencies and institutions along with supporting documents to prove that the affiant lives at the stated address.

Affidavit of Residency

An affidavit of residency is a formal statement acknowledging that an individual occupies a specified address. Once signed and notarized, it can be presented to agencies and institutions along with supporting documents to prove that the affiant lives at the stated address.

Last updated February 28th, 2025

An affidavit of residency is a formal statement acknowledging that an individual occupies a specified address. Once signed and notarized, it can be presented to agencies and institutions along with supporting documents to prove that the affiant lives at the stated address.

  1. Home »
  2. Affidavit »
  3. Affidavit of Residency

When an Affidavit of Residency is Used

An affidavit of residency is used to prove that the person signing it lives at the address stated therein. It may be required by schools, employers, the DMV, or other agencies and institutions as proof of residency.

How to Prove an Address

An applicant seeking to prove residency before an institution or agency will often need to present a proof of address. This may include utility bills, leases, or government mail.

If the applicant does not have a proof of address document, some authorities may accept an affidavit of residence executed before a notary public. In some cases, the applicant will need to sign the affidavit with a representative or an individual who shares their address (and who must also provide documentation verifying their relationship to the applicant).

Sample

Download: PDF, Word (.docx), OpenDocument

AFFIDAVIT OF RESIDENCY

Name: [AFFIANT NAME]
Address: [AFFIANT ADDRESS]
City, State, ZIP: [AFFIANT CITY, STATE, ZIP]

Date: [MM/DD/YYYY]

I, [AFFIANT NAME], formally acknowledge living at the street address of [AFFIANT ADDRESS, CITY, STATE, & ZIP] since [MM/DD/YYYY].

I swear and affirm under penalty of perjury that the facts set forth in this statement are true and accurate.

_____________________

State of [STATE]
County of [COUNTY]

Subscribed and sworn to (or affirmed) before me on this [DAY] day of [MONTH], [YEAR], by [AFFIANT], proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

WITNESS my hand and official seal.

Signature: ________________________

My Commission Expires: _______________

(Seal)