The West Virginia Affidavit of Residency form is a legal document that confirms an individual's residence within the state. This form is often required for various purposes, including voter registration and eligibility for state services. Understanding how to properly complete and submit this affidavit is essential for ensuring compliance with state requirements.
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The West Virginia Affidavit of Residency form serves a crucial purpose for individuals seeking to establish their residency within the state. This document is typically required for various applications, including those related to voter registration, educational enrollment, and certain legal matters. By completing this form, individuals affirm their permanent residence in West Virginia, which can impact their eligibility for local services and benefits. The affidavit requires the applicant to provide specific information, such as their name, address, and the duration of their residency. Additionally, the form may necessitate the signature of a witness or notary to validate the authenticity of the claims made. Understanding the significance of this affidavit is essential, as it helps ensure that residents receive appropriate representation and access to resources in their community.
West Virginia Affidavit of Residency
This document serves to affirm the residency of an individual within the State of West Virginia, adhering to the specifications outlined under West Virginia Code. By completing this affidavit, the undersigned attests under penalty of perjury that the information provided is accurate and true to the best of their knowledge. This Affidavit of Residency may be required for various legal, educational, or employment purposes within West Virginia.
To be completed by the Affiant (Resident):
Full Name: __________________________________________________
Current Residential Address: __________________________________________________
City: _________________, State: West Virginia, Zip Code: ____________
Telephone Number: ______________________________
Date of Birth: ______________________________
West Virginia Driver's License or ID Number: ______________________________
Statement of Residency
I, _____________________________ [Affiant’s Full Name], hereby declare under penalty of perjury that I am a legal resident of the State of West Virginia, residing at the address stated above. I have resided at this address for _____ years/months.
During my residence in West Virginia, I have not claimed residency in another state or jurisdiction for any purpose.
Supporting Documentation
I understand that I may be required to present supporting documentation proving my residency. Such documentation may include, but is not limited to:
Signature
By signing below, I affirm that the information provided in this affidavit is true and correct to the best of my knowledge and belief.
___________________________________ Signature of Affiant
__________ Date
Notary Public (if required)
This section to be completed by a Notary Public, certifying the identity of the affiant, only if necessary as per the requirements of the requesting entity.
State of West Virginia County of ___________________
On this ____ day of _________, 20__, before me, ______________________________ [name of notary], personally appeared ______________________________ [name of affiant], known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
___________________________________ Signature of Notary Public
My commission expires: ___________
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