Fillable Printable Affidavit of Citizenship - California

Affidavit of Citizenship - California

AFFIDAVIT OF CITIZENSHIP

I _________________________________, solemnly swear that I am a

(Name of Affiant)

citizen of the United States of America

[ ] I was born in the U.S.A.

[ ] I became a citizen on Date____________Approximate Date______________ and I was

born in City__________________Country of Birth_______________________

[ ] State driver’s license [ ] State Identification [ ] U.S.A. Military ID [ ] U.S.A. Passport

number is_________________________and expires on ______________

[ ] Other Identification-please specify________________________________

______________________________________

(Signature of Affiant)

State of California

County of __________________

Subscribed and sworn to (or affirmed) before me on this ________ day of

______________________, 20_____ by ___________________________________________,

proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

________________________________________

Notary Public Signature

(Seal)