Affidavit of Residence
声明人信息 / Declarant Information
我,以下签署人,声明如下:
I, the undersigned, hereby declare the following:
- 姓名 / Full Name:
[填写您的姓名 / Enter your full name] - 出生日期 / Date of Birth:
[填写您的出生日期 / Enter your date of birth] - 国籍 / Nationality:
[填写您的国籍 / Enter your nationality] - 当前居住地址 / Current Residential Address:
[填写您的地址,包括街道、城市、州和邮编 / Enter your address, including street, city, state, and ZIP code]
声明内容 / Statement of Residence
我声明我自[填写日期]起合法居住于上述地址,并一直在此生活。此声明用于[说明用途,如法律事务、签证申请等]。
I hereby declare that I have been residing at the above address since [enter date] and have continuously lived there. This affidavit is made for the purpose of [state purpose, e.g., legal matters, visa application, etc.].
如有需要,我愿意提供更多补充信息或证明文件以佐证此声明的真实性。
If required, I am willing to provide additional information or supporting documents to verify the accuracy of this statement.
声明人签名 / Declarant’s Signature
签名 / Signature: ____________________________
日期 / Date: ____________________________
联系方式 / Contact Information:
[填写您的联系方式,如电子邮箱或电话号码 / Enter your contact details, such as email or phone number]
公证人确认(如适用) / Notarization (if applicable)
州 / State of: ____________________________
县 / County of: ____________________________
本声明书于[填写日期]由声明人签署于本人面前,并由我确认其身份属实。
On this [enter date], the above-named Declarant personally appeared before me and is known to me (or has provided satisfactory proof) to be the individual who executed this affidavit.
公证人签名 / Notary Public Signature: ____________________________
印章 / Seal: ____________________________
我的委任期限至 / My Commission Expires: ____________________________