Florida Affidavit of Residency
This document is a sworn statement confirming residency in the state of Florida. It is often required for registration purposes in educational institutions, legal matters, and for various state-specific programs. This affidavit must be completed in accordance with the Florida Statutes that govern residency and sworn statements. Please ensure the information provided is accurate and truthful.
Section 1: Affiant Information
Full Legal Name: _____________________________
Date of Birth: _____________________________
Florida Driver’s License or ID Number: _____________________________
Florida Residential Address: _________________________________________
_________________________________________________________________
City: ___________________, State: FL, Zip Code: _______________
County of Residence: _____________________________
Section 2: Residency Information
Please indicate your current residency status in Florida:
- _____ Florida resident for more than six months and one day last year
- _____ Resident since (date): ________________________
Section 3: Affidavit Statement
I, _________________________(Affiant’s Name), under penalty of perjury, do hereby declare that I have read the above information provided by me and that it is all true and correct to the best of my knowledge. I understand that providing false information on this form could result in penalties as outlined in Florida law.
I assert that I am a resident of the State of Florida and maintain a principal residence at the address stated above. I intend to maintain this residence as my primary place of living.
Section 4: Signature
Affiant’s Signature: _______________________________ Date: ___________
Sworn to and subscribed before me this _____ day of _______________, 20___, by _______________________________ (Affiant’s Name), who is personally known to me or has produced identification as indicated below:
Identification Type and Number: _____________________________________
Notary Public/Officer Signature: ____________________________________
Printed Name: _____________________________
Date: ___________
Commission Number: _______________
Seal: