Florida Affidavit of Residency Template
This document certifies the residency status of the individual named below as per the requirements of the State of Florida. This affidavit is to be filled out to affirm residency within the state for various purposes, including, but not limited to, school enrollment, voter registration, and state benefits eligibility.
The individual affirming their residency status must provide truthful information and understand that providing false statements may result in penalties under state law.
Affidavit Information
Full Name of Affiant: ________________________________________
Physical Address: ___________________________________________
_______________________________________________________________
City, State, Zip: ____________________________________________
Date of Birth: ______________________________________________
Florida Driver’s License or Identification Card Number: ___________
Statement of Residency
I, ____________________________ (the "Affiant"), hereby swear and affirm under penalty of perjury that the information provided above is true and accurate to the best of my knowledge and belief. I declare that my permanent domicile, for all purposes, including voting, taxation, and other legal matters, is as stated above within the State of Florida.
I understand that my domicile is the place where I have established my permanent home, where I return following temporary absences, and where I intend to stay indefinitely. I further affirm that I have not claimed residency in another state for any purpose.
Evidence of Residency
The Affiant may be required to provide evidence of residency. Acceptable documents include, but are not limited to:
- Florida Driver’s License or State Identification Card
- Utility bills, not older than two months
- Florida vehicle registration or title
- Property deed or rental agreement in Florida
- Voter registration in Florida
Signature
Date: _______________________
Signature of Affiant: ________________________________________
Notary Public: ______________________________________________
State of Florida
County of _______________
Subscribed and sworn to (or affirmed) before me on this date, __________________, by ______________________________________ (name of Affiant), who is personally known to me or has produced identification.Type of Identification Produced: _____________________________.
__________________________________________
(Notary Public Signature)
(Seal)
Instructions
This affidavit must be completed in the presence of a Notary Public or other official authorized to administer oaths. All information should be provided accurately to reflect the affiant’s residency status in Florida. Upon completion, submit this affidavit to the requesting organization or agency.