Outline
The Indiana Affidavit of Residency form serves as a crucial document for individuals who need to establish their residency in the state of Indiana. This form is often required for various purposes, including enrollment in schools, obtaining driver's licenses, or accessing state services. It typically includes key information such as the affiant's name, current address, and the duration of residence at that address. Additionally, the form may require the signature of a witness or notary to validate the information provided. Understanding how to accurately complete this affidavit is essential, as it can impact a person's eligibility for certain rights and benefits within the state. By ensuring that all details are correct and properly documented, individuals can navigate the requirements of residency verification with greater ease and confidence.
Form Sample
Indiana Affidavit of Residency
This affidavit is made in accordance with the Indiana Residency Statute, aiming to prove the residency of an individual within the State of Indiana.
To the best of my knowledge, I hereby provide the following information:
- Full Legal Name: __________________________
- Date of Birth: __________________________
- Current Residential Address: __________________________
- City: __________________________, State: Indiana, ZIP Code: __________________________
- Telephone Number: __________________________
- Duration of Residency at the Current Address: __________________________
- Previous Residential Address (if applicable): __________________________
- Reason for Residency Affidavit: __________________________
I, __________________________ (the "Affiant"), hereby declare under the penalties of perjury that the information provided above is true and correct to the best of my knowledge, belief, and understanding. I further certify that I am a legal resident of the State of Indiana and have established and maintained a residence as indicated above.
Affiant's Signature: __________________________
Date: __________________________
Notary Public: __________________________
State of Indiana, County of __________________________
Subscribed and sworn to (or affirmed) before me on this ___ day of ____________, 20__, by __________________________ (name of Affiant), who is personally known to me or has produced __________________________ (type of identification) as identification.
Seal: __________________________
Notary Signature: __________________________
Date: __________________________
Document Details
| Fact Name | Description |
|---|---|
| Purpose | The Indiana Affidavit of Residency form is used to verify an individual's residence within the state of Indiana. |
| Governing Law | This form is governed by Indiana Code § 20-26-11-2, which pertains to residency verification for educational purposes. |
| Who Uses It | Typically, this form is used by parents or guardians of students enrolling in Indiana schools. |
| Required Information | The form requires the individual's name, address, and a statement affirming the truthfulness of the information provided. |
| Notarization | The affidavit must be signed in the presence of a notary public to ensure its validity. |
| Submission | Once completed, the form should be submitted to the school district where the student is enrolling. |
| Legal Implications | Providing false information on this form can lead to legal consequences, including potential criminal charges. |
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