Affidavit of Citizenship  

Please print this form.  Fill it out and sign it in the presence of a notary public. Remember to GET IT NOTARIZED, otherwise it is worthless.  Of course you will have to have enough proper documentation to prove to the notary that you are a citizen (i.e. driver’s license, social security card, birth records, etc…).

Date:__________________

  To Whom It May Concern:

  I ___________________________, hereby state that I was born on  _________________

  (date of birth) in ______________________________ (city, state) and that I am a citizen of

  the United States of America.  I will be traveling to _________________________

  (destination) on ________________, (date) and returning on _______________, (date).

  ____________________________

(Signature)

  On the ____________ day of _____________, ________, before me came __________________,

  known to be the individual described in, and who executed, the forgoing instrument, and

  acknowledged the he/she executed the same.

  ___________________________

(Notary Signature)