Affidavit of Residency Submission Form
Full Name
Date of Birth
Residential Address
City
State/Province
Zip/Postal Code
Length of Residence (in years/months)
Contact Number
Email Address
Relationship to Property (e.g., Owner, Tenant, Relative)
Other Residents (if any)
Supporting Documents (list document names, if submitting physically)
I hereby declare that the information provided above is true and accurate to the best of my knowledge.
Signature
Date