Nevada Affidavit of Residency Template
This Nevada Affidavit of Residency is a formal declaration of an individual’s residence within the State of Nevada, designed to comply with state-specific requirements. Its purpose is to verify the address and residency status of the person named below. Please fill in the blanks with the required information.
I, _______________________ (Full Legal Name), of legal age, being duly sworn, declare under penalty of perjury under the laws of the State of Nevada that the following statements are true and correct:
- Full Legal Name: _______________________
- Current Residential Address: _______________________, City: _______________________, State: Nevada, Zip Code: _______________________
- Date of Birth: _______________________
- Length of residency at the above address: _______________________
- I affirm that my residence, as stated above, is not for a temporary or transient purpose and that Nevada is my state of permanent domicile.
- I understand that providing false information in this affidavit may result in penalties under Nevada law.
Further, I consent to the release of this information for verification purposes and agree that this affidavit can be admitted as evidence in legal proceedings if necessary.
Sworn to and subscribed before me on this ______ day of _________________, 20____.
_______________________
(Signature of Affiant)
_______________________
(Printed Name of Affiant)
State of Nevada )
County of _______________ )
Subscribed and sworn before me this ______ day of _________________, 20____ by _______________________.
_______________________
(Signature of Notary Public)
_______________________
(Printed Name of Notary Public)
My commission expires: ____________