Fillable Affidavit Of Shared Residency (Amphitheater Public Schools)

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Affidavit Of Shared Residency (Amphitheater Public Schools)

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Country of origin: US
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JFAA-EB
EXHIBIT EXHIBIT
ADMISSION OF
RESIDENT STUDENTS
Affidavit of shared residence
Amphitheater Unified School District
I swear or affirm that I am a resident of the state of Arizona and that the persons listed below
reside with me at the residence, described as follows:
Persons who reside with me: _____________________________________________________
_____________________________________________________________________________
Location of my residence: ________________________________________________________
_____________________________________________________________________________
I submit in support of this attestation a copy of the following document that displays my name and
current residence address or physical description of my property:
____ Valid Arizona driver’s license, Arizona identification card, or motor vehicle registration
____ Valid U.S. passport
____ Real estate deed or mortgage documents
____ Property tax bill
____ Residential lease or rental agreeement
____ Water, electric, gas, cable, or phone bill
____ Bank or credit card statement
____ W-2 wage statement
____ Payroll stub
____ Certificate of tribal enrollment or other identification issued by a recognized Indian tribe
____ Documentation from a state, tribal or federal government agency (Social Security
Administration, Veteran’s Administration, Arizona Department of Economic Security)
Printed Name of Affiant: __________________________________________________________
Signature of Affiant: _____________________________________________________________
Acknowledgement
State of Arizona )
) ss.
County of Pima )
The foregoing was acknowledged before me this ___ day of __________, 20__,
by________________________________________________________.
_________________________________
Notary Public My commission expires: _____________
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Affidavit Of Shared Residency (Amphitheater Public Schools)

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Completed 15 July 2020

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