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Illinois Affidavit of Residency

This Affidavit of Residency is created to affirm that the individual named below resides at the address specified. This document is in accordance with applicable Illinois state laws regarding proof of residency.

Affidavit of Residency

Owner of Affidavit:

  • Name: _____________________________________
  • Date of Birth: _____________________________________
  • Address: _____________________________________
  • City: _____________________________________
  • State: Illinois
  • Zip Code: _____________________________________

Maryland Address of Residency:

  • Address: _____________________________________
  • City: _____________________________________
  • State: Illinois
  • Zip Code: _____________________________________

I, [Your Full Name], hereby declare that I am a resident of Illinois and the above address is my permanent residence. I affirm that the information provided in this affidavit is true and accurate to the best of my knowledge.

This affidavit is made for the purpose of:

  1. Proving residency for legal matters.
  2. Establishing eligibility for services or benefits.
  3. Other: _____________________________________

Signature: _____________________________________

Date: _____________________________________

Witness Signature: _____________________________________

Witness Name: _____________________________________

Date: _____________________________________

Notary Public:

Subscribed and sworn before me this ____ day of __________, 20__.

Notary Signature: _____________________________________

My commission expires: _________________________________

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