Georgia Affidavit of Residency
State of Georgia
Affidavit of Residency is made pursuant to the laws of the State of Georgia.
I, the undersigned, hereby declare under penalty of perjury that the following statements are true and accurate:
1. Personal Information:
- Full Name: __________________________
- Date of Birth: ______________________
- Address: ____________________________
- City: ______________________________
- State: Georgia
- ZIP Code: _________________________
2. Affidavit Details:
I affirm that I have resided at the above address for the past ____ months/years.
3. Additional Information (if applicable):
- Previous Address: ______________________
- City: ______________________________
- State: ____________________________
- ZIP Code: ______________________
4. Purpose of Affidavit: This affidavit is provided for the purpose of: ______________________.
By signing below, I certify that the information provided is true and correct to the best of my knowledge.
Signature: ________________________________
Date: __________________________________
Witness (if required):
Name: _________________________________
Signature: ______________________________
Date: __________________________________
Notary Public:
Subscribed and sworn to before me this ____ day of __________, 20____.
Notary Signature: ___________________________
My Commission Expires: ____________________