Fill and Sign the How to Write an Affidavit a 10 Step Checklist Sample Form

Affidavit of Naturalized Citizen Given to Prove Loss of Passport State of __________________________County of ________________________________________________ (Name of Affiant), being first duly sworn, deposes and says:1. I reside at _____________________________________________________________ (address of affiant) , __________________ (name of city), ___________________ (name of county), __________________ (name of state).2. I was born on _____________________ (date of birth) at _____________________ (name of city) , _______________________ (name of state or province) , _________________________ (name of country).3. On ____________________ (date of issuance of certificate of naturalization), I was issued Certificate of Naturalization No. ___________________ (certificate of naturalization number).4. I was issued a United States passport on _________________ (date of issuance of passport), at _____________________________________ (location of issuance of passport). My passport number is _________________ (passport number).5. I last saw my passport at ______________________________ (place where passport last seen) on or about _____________________ (date when passport last seen).6. My passport was ______________ (lost or destroyed) under the following circumstances: (description of circumstances of loss or destruction) ____________ ______________________________________________________________________. 7.Notwithstanding diligent efforts on my part to find my passport I have not been able to find said passport.8. This Affidavit is executed to obtain a new passport to replace the one that was __________________ (lost or destroyed).________________________________(Signature of Affiant)________________________________ (Print or Type Name)SWORN to and subscribed before me, this the ______ day of ______________, 20______.__________________________NOTARY PUBLICMy Commission Expires:_________________________