Free affidavit of identity 10
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ARMY & AIR FORCE EXCHANGE SERVICE
P.O. Box 650060
Dallas, TX 75265-0060
Phone 214-312-6103
FAX 214-465-2912

AFFIDAVIT OF IDENTITY
Privacy Act of 1974: Solicitation of your Social Security Number and/or other personal information is authorized by Title 10, U.S. Code
3013 and 8013. Failure to provide requested information could result in not locating the authorized responsive
documentation/records.
Instructions: Please complete all blank areas and sign in front of a notary of public. When complete the original form must be mailed to
the address listed. Note: No disclosure of requested records/documents will be made prior to the receipt of this completed form.

BEFORE ME, the under signed authority personally appeared this day,
______________________________________________ , (Affiant) known to me to be the person
described herein and said person did present a current identifying document(s)/card
issued by a federal or state governmental containing his/her photograph and signature
(TCPRC