Notary Proof of Residency Letter

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Updated July 01, 2022

A notary proof of residency letter is a sworn statement claiming residency by an individual, or on behalf of an individual, and signed in the presence of a notary public. Due to the nature of notarization, the letter may be subject to State perjury laws if there are any false claims made on behalf of the claimant.

Notary Acknowledgment – It’s recommended to use the statutory form when notarizing documents.

How to Write

Download: Adobe PDF, Microsoft Word (.docx) or Open Document Text (.odt)

1 – The Notary Public’s Affidavit Should Be Downloaded To Your Machine

The affidavit form on this page can be viewed before downloading via the preview picture on this page. Notice the three buttons below this image. You may click on any of them to gain access to the previewed template. You may determine the file type you wish to work with (PDF, Word, or ODT) then select the appropriately labeled button or link above to save this file to your machine.

2 – The Declarant’s Return Address Must Be Documented With This Paperwork’s Date

The area below the title is reserved for the return address this document’s Sender to be presented clearly. Begin by entering his or her first, middle, and last name on the blank line labeled “Name.”

Naturally, the next item required here will be the Sender’s address. The building number, street name, and any applicable unit number should be presented on the blank line labeled “Street Address.” The next two blank lines are labeled “City, State” and “Zip” will allow the remainder of the return address to be reported accordingly.

3 – Supplement The Testimonial With Definitive Facts

Before we begin with the body of this testimony, we must assign a “Date” to this document. Produce the calendar date of this document on the blank line labeled “Date.” Now, the individual declaring his or her knowledge of the Subject’s residential address will need to make sure the statement after the greeting (“To Whom It May Concern”) is supplemented with the correct information before signing this document. The first item required will be the name of the Signature Party making this declaration. Produce his or her full name (first, middle, and last) on the blank space just before the phrase “Formally Acknowledge…” The first, middle and last name of the Subject should be placed on the blank line between the word “…Acknowledge” and the words “Residence At…” This is the individual whose address the Declarant named above is verifying. The goal of this document can only be achieved by producing the building number, street or road name or number, and (if applicable) unit number where the Subject lives and can be visited on the blank space following the phrase “…The Street Address Of” The city as well as the state where the Subject’s street address is found will also need to be documented in this statement. Two additional blank lines (after the terms “City Of” and “State Of”) have been supplied so you may report this information. The blank spaces at the end of this statement require the calendar date when the Subject began living at the address being verified. Notice there is a space for the month and calendar day and a separate space for the year (after the number “20”).

4- The Declarant’s Signature Must Be Provided And Notarized

The Declarant will need to sign this document in the presence of a Notary Public. When all these parties have gathered for the signing, the Declarant must sign his or her name on the blank line under the closing “Sincerely” then, release this paperwork to the attending Notary Public. The notarization of this signing will require the state and county where the signing occurred. The Notary Public will report the signature date and his or her full name. Once the location, date, and the identity of the Notary Public have been established, the Notary Public must report the individuals that are present for the signing. The state that holds governance over the affidavit signed by the Declarant should be documented by the Notary Public. The Notary Public must sign the “Signature” line, print his or her name on the “Print Name” line, and produce his or her Notary Seal in the area to the left so this signing’s notarization may be completed.