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AFFIDAVIT OF RESIDENCY Name: SSN/ITIN:I, swear or affirm that I am unable to provide an instated physical address for purposes of my application for health care coverage because I am currently homeless.

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What is i swear or affirm?

I swear or affirm is a legal statement made by an individual confirming the truthfulness of the information they are providing.

Who is required to file i swear or affirm?

Individuals who are submitting official documents or statements may be required to file i swear or affirm.

How to fill out i swear or affirm?

To fill out i swear or affirm, you must provide truthful information and sign the document in the presence of a notary or legal official.

What is the purpose of i swear or affirm?

The purpose of i swear or affirm is to ensure that individuals are providing accurate and honest information in legal documents or statements.

What information must be reported on i swear or affirm?

The information to be reported on i swear or affirm will vary depending on the specific document or statement being filed.

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