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This document is used to declare a residence for the purpose of the Seneca-Cayuga CCDF Program when a utility bill in the applicant's name is not available.
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How to fill out NOTARIZED STATEMENT OF RESIDENCE

01
Obtain a NOTARIZED STATEMENT OF RESIDENCE form from your local notary or online.
02
Fill out your name, address, and the date on the form.
03
Provide any additional required information, such as how long you have resided at the address.
04
Sign the form in the presence of a notary public.
05
Have the notary public complete their section, including their signature and seal.

Who needs NOTARIZED STATEMENT OF RESIDENCE?

01
Anyone requiring proof of residency for legal purposes, such as students applying for in-state tuition, individuals applying for government programs, or those needing it for identification purposes.
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A notarized statement of residence is a legal document that confirms an individual's place of residence, acknowledged by a notary public to verify the identity of the signer.
Individuals who need to provide proof of their residency for legal, financial, or administrative purposes, such as applying for government benefits, may be required to file a notarized statement of residence.
To fill out a notarized statement of residence, you typically need to provide your full name, current address, and the dates you have lived at that address, followed by your signature in the presence of a notary public.
The purpose of a notarized statement of residence is to legally affirm an individual's residency status, which may be required for various applications or legal proceedings.
The information typically reported includes the individual's full name, current residential address, how long they have resided there, the purpose for which the statement is being made, and the signature of the individual along with that of the notary public.
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