Notary Public Academy

Sample Affidavit of Residence

Affidavit of Residence

ABC Academy

*** ******* **.

Houston, TX 77005

October 31, 2012

Dear Superintendent Smith:

This letter is to formally verify my place of residence. I certify that I, John Doe, presently live at 987 Castle Road, Houston, TX 77005, and that I have lived at this address for 7 years, since May 2, 2005.

I, John Doe, further certify that the above information is true and accurate. Furthermore, I understand that if any of the information contained in this letter is false, I can be held accountable and penalized in a court of law.

Sincerely,

John Allan Doe

Enclosure: Copy of September 2012 utility bill

Sworn to and subscribed before me on (MM/DD/YY).

Notary Public Signature

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