AFFIDAVIT OF IDENTITY
STATE OF
COUNTY OF
I/We,
, born in
,
in the county of
in the state of
and being duly sworn, do hereby depose and attest that:
1. My full and legal name is
2. My current address is
3. My Social Security number
4. As proof of identity, I have presented the public notary the following photo ID:
5. I understand that the purpose of this document is to demonstrate that I am the
proven client of
6. I understand that the falsification of this document is a felony offense, and I
swear that all of the aforementioned information is true.
AFFIANT
Subscribed and sworn to before me
this
day of
20
(Notary Public),
County.
My commission expires
20