This regulation from the Department of Records provides for notary affidavits in response to fraudulently recorded documents. 3.6 A sample form Notary Affidavit is attached as Exhibit A to this regulation.Verification on oath or affirmation (affidavit). The mission of the Department of Community and Economic Development (DCED) is to foster opportunities for businesses to grow and for communities to succeed. Pennsylvania Affidavit of Residence Form. Use our Affidavit of Residency form to verify your home address for official purposes. Sample Notary Statements are available for the following forms: Acknowledgements Oaths Depositions Affidavits Certificates Acknowledgements. What you should look for in a document before you notarize: The proper notary wording (Certificate of Notarial Act). Please enter the full name of the homeowner or tenant, current address, zip code, and the name of the parent(s) or guardian(s). This article and video will show Notaries to fill out each part of a notarial certificate, and common mistakes to avoid.