Legal Declaration
Your Name
Your Address
Your Phone Number & Email Address
To Whom It May Concern:
I, _________________________, born in United States on _____________ certify with my three original signatures below, that this is a true and accurate copy of my valid U.S. Passport and valid Identification. Above is my current home address, telephone number, and email address.
Three original signatures:
(1) Signature:________________________________________
Date:_________
(2) Signature:________________________________________
Date:_________
(3) Signature:________________________________________
Date: _______
For Notary Public:
State of __________________
County of
On this, the___________day of ______________, 20______, before me a notary public, the undersigned officer, personally appeared_____________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained.
In witness hereof, I hereunto set my hand and official seal.
___________________________ Notary Public
