PDF Template
Dependency Affidavit
Download a blank template to fill in by hand
This template includes fields for:
- Your Full Legal Name (Affiant)
- Your State ID / Driver's License Number
- Dependent's Full Legal Name
- Dependent's Date of Birth
- Dependent's Relationship to You
- Date the Dependency Began
- Approximate Monthly Support Provided (USD)
- Where the Dependent Lives
or
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Use Online GeneratorHow to Use This Template
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1
Download and print
Download the PDF template and print it out on A4 paper.
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2
Fill in your details
Complete all the fields with a blue or black pen. Write clearly and legibly.
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3
Get notarized by a Notary Public
Take the completed form to any Notary Public. The Notary Public will verify your identity and witness your signature.
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4
Bring your ID
Remember to bring your government-issued ID or passport when going to get your affidavit notarized.