Affidavit Of Residence Form

ADVERTISEMENT

Revised
March 2016
AFFIDAVIT OF RESIDENCE
Both the owner/lease holder’s signature and the parent/guardian’s
signature must be notarized.
_______________________________
_____________________________
Address
Owner or Lease Holder Name (Print)
_____________________________
_______________________________
City, State and Zip Code
Signature
Relationship to student:
_____________________________
Phone number including area code
Relative ______________________
Other _______________________
The permanent residence of _____________________________________is
Name of Parent/Guardian
______________________________________________________
Address
City
State
Zip Code
__________________________
Signature of Parent/Guardian
STATE OF FLORIDA
COUNTY OF ________
Sworn to (or affirmed) and subscribed before me this _____ day of _____, 20___, by
________________________ (Owner/Lease Holder) and _____________________ (Parent/Guardian).
___________________________
(NOTARY SEAL)
Notary Signature
Personally Known ______ OR Produced Identification _______
Type of Identification Produced_______________________________________________
…any person making a false oath before a Notary Public shall be guilty of perjury
and be subject to the penalties, forfeitures, and disabilities that are prescribed by
[Type text]
law in cases of willful and corrupt perjury.
ReRe
History-September 13, 1822; RS 219; GS 304; RGS 415; CGL 481; s 20, ch. 73.334

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2