Free affidavit of identity 36
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NOTARIZED PROOF OF IDENTIFICATION
PART I. ENTER NAME, DATE AND PLACE OF BIRTH/DEATH, AND NAMES OF PARENTS AS INFORMATION APPEARS ON
BIRTH/DEATH CERTIFICATE
FULL NAME OF PERSON ON RECORD
DATE OF BIRTH/DEATH
PLACE OF BIRTH/DEATH (City or County)

SEX

FULL NAME OF PARENT 1

FULL NAME OF PARENT 2

PART II. ENTER RELATIONSHIP TO PERSON ON RECORD AND THE TYPE OF ID USED.
NAME AND RELATIONSHIP TO PERSON ON RECORD
TYPE AND NUMBER OF ID ACCEPTED WHEN NOTARIZED

AFFIDAVIT OF PERSONAL KNOWLEDGE
PART III. THIS SECTION MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC
STATE OF ______________________
COUNTY OF ____________________
Before me on this day appeared _________________________________________________________________________________
(Name)
Now residing at ______________________________________________________________________________________________,
(Address)
(City)
(State)
Who is related to the person named on Part I as ___________________________________________ and who on oath deposes a