AFFIDAVIT OF OWNERSHIP
STATE OF FLORIDA
COUNTY OF ST. JOHNS
ON THIS DAY BEFORE ME, an officer duly authorized to administer oaths in
the State of Florida and take acknowledgement personally appeared ________________,
who after being duly sworn, deposes and says:
1.
I, ______________________________, am the owner of the residence located at
______________________________.
2.
_______________________________ is the parent of _____________________
who is a student within the St. Johns County School District.
3.
Check One
□
The above individuals currently reside with me at the above residence located
within St. Johns County, Florida.
□
Mr./Ms. _________________________________ rents such residence from me.
UNDER THE PENALTIES OF PERJURY FURTHER AFFIANT SAYETH NOT.
_______________________________
Property Owner Signature
STATE OF FLORIDA
COUNTY OF ST. JOHNS
SUBSCRIBED and SWORN before me on this
day of
_____________, 20__, by _________________________, who ( ) is personally known
to me or ( ) has produced a Florida Drivers License.
_______________________________
Signature of Notary
________________________________
Name of Notary typed, printed or stamped
Notary Public, State of Florida at Large
My Commission Number is:__________
My Commission expires:_____________
Prepared by Student Services 05/08