Address Verification Form
An address verification form is used to confirm the address of an individual especially if he is going for an address change. This form also helps in preventing any documents of that person going to the wrong mailing address.
Sample Address Verification System:
Name: ___________________
Social security number: __________________
Date of birth: _____________
Present Mailing address: _______________________________________
Name of the street: _____________ State ______________ Postal code __________
Home phone number: ____________ Work phone number ______________
Mobile phone number: ___________________
Permanent address: _____________________________________________
City name: __________ State: _____________ Postal code _____________
Nationality: ______________
Mother tongue: ____________________
I state that all the information mentioned by me above is true
____________________ Dated: _______________________
Signature of the applicant
Notary public details:
Signed before me in the city of ____________ in the state of ___________ on _____________.
Notary public name: ____________________
Office address: ______________
Contact number: ___________
Date of commission expiry: _____________
__________________________ Dated: __________________
Signature of notary public
Category: Verification Forms
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