Louisiana Affidavit of Residency
This Affidavit of Residency is made in compliance with the relevant Louisiana state laws. Its purpose is to officially declare the residential address of the undersigned. This affidavit must be sworn to or affirmed by the affiant in front of a Notary Public or other official authorized to administer oaths in Louisiana.
State of Louisiana
Parish of _______________
Before me, the undersigned authority, personally appeared ______________________ (the "Affiant"), who being duly sworn, deposes and says:
- The Affiant's full legal name is _______________________________________.
- The Affiant's date of birth is ________________.
- The Affiant's current residential address is ___________________________________________, situated in the county of ______________, state of Louisiana.
- This address is the Affiant's sole residence, and has been for _________ months/years.
- The Affiant provides this affidavit to confirm their residency and for no improper purpose.
- Any person or entity relying on this affidavit may do so in good faith as a true declaration of the Affiant's residency.
- The Affiant understands that providing false information in this affidavit is punishable under the law.
Further Affiant sayeth naught.
____________________________________
Signature of Affiant
Subscribed and sworn to (or affirmed) before me this ______ day of _______________, 20____, by ______________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
____________________________________
Notary Public (or other authorized official)
My Commission Expires: _______________