Louisiana Affidavit of Residency Template
This document certifies that the individual named below is a current resident of the State of Louisiana, in accordance with the provisions set forth under the Louisiana Civil Code. It is sworn to and signed before a notary public, serving as a declaration of residency within the state.
STATE OF LOUISIANA
PARISH OF _________
I, _____________ [Affiant’s Name], residing at _____________ [Affiant’s Address], City of _____________, Parish of _____________, Louisiana, ZIP Code _____________, do hereby affirm and declare as follows:
- I am a legal resident of the State of Louisiana and have resided at the above address for _________ [time period] starting from _____________ [date of commencement].
- I am submitting this affidavit to serve as proof of my residency in Louisiana for _____________ [reason for submission].
- The information provided in this affidavit is true, accurate, and complete to the best of my knowledge. I understand that providing false information on this affidavit can lead to penalties under the law.
I hereby declare under penalty of perjury that the foregoing statements are true and correct to the best of my knowledge, information, and belief.
Executed on this ____ day of _______________, 20___.
_________________________
[Affiant’s Signature]
Subscribed and sworn to before me this ____ day of _______________, 20___.
_________________________
[Notary Public’s Name]
Notary Public, State of Louisiana
My commission expires: _______________