Affidavit of Identity Theft

Affiant Details

Full legal name of the affiant

Date of birth of the affiant

Contact number of the affiant

Email of the affiant

Social security number of the affiant

Driver's license or state ID number of the affiant

Full address of the affiant (e.g. Street, City, State, Zip Code)

Date when Affiant began living at their current home address

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