The Self Declaration Form For Address Proof is commonly used when individuals need to officially verify their residence but may lack traditional documentation like utility bills or lease agreements. This document is recognized across various U.S. jurisdictions and institutions, subject to federal and state regulations regarding false statements. It typically includes the declarant's full legal name, current address, duration of residence, and may require notarization depending on the requesting institution's requirements. The form serves as a legally binding statement that can be used for various purposes including banking, school enrollment, government services, and utility connections.
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1. Declaration Header: Title, date, and purpose of declaration
2. Declarant Information: Full legal name and current contact details
3. Address Details: Complete current residential address being declared
4. Declaration Statement: Formal statement confirming address accuracy under penalty of perjury
5. Legal Compliance Statement: Reference to relevant laws including False Statements Act and Privacy Act provisions
6. Signature Block: Space for signature, date, and witness/notary attestation
1. Previous Address History: Section for listing previous addresses when required by specific authorities
2. Supporting Documentation Reference: Section listing any additional proof documents being submitted with the declaration
3. Purpose of Declaration: Specific purpose for which the address proof is being submitted (e.g., banking, school enrollment)
1. Schedule A - Supporting Document List: Comprehensive checklist of acceptable supporting documents for address verification
2. Schedule B - Instructions Sheet: Detailed guidelines for completing the declaration and submission requirements
3. Schedule C - State-Specific Requirements: Additional requirements or variations based on state jurisdiction
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