This article provides a comprehensive sample of an affidavit letter, guiding readers through the essential components and format. WARNING: Falsification of this affidavit could result in criminal prosecution and the revocation of your driving privileges for a period of one year.A proof of residency letter is an acknowledgment or sworn statement stating that an individual resides at a specific address. Customer: Can you please provide sample of affidavit from friends and family for bonafide marriage for green card interview . Need proper wordings to write in. Box 4: Type the name of the Defendant exactly as it appears on the Complaint. Box 5: Type the name of the person who is serving the court papers. Use the form with the boxes to guide you through filling out the blank form. In the sentence, the person writing the statement must state that he or she is stating that the information is accurate. The out-of-state certificate of title showing the amount of sales tax paid (provided they are reciprocal with Pennsylvania). 5.