Skip to main content

Dodge City Public Schools

AFFIDAVIT OF CONTINUOUS RESIDENCY - LINK TO GACC

Affidavit of Continuous Residency

Dodge City USD 443

Dodge City, Kansas

Affidavit of Continuous Residency

Affidavit of Continuous Residency - Printable Version

STATE OF KANSAS               

SS: COUNTY OF (__________)

I, ____________________________, of lawful age and being first duly sworn on my oath, allege and state as follows, that:

  1. I have been a permanent residence of the State of Kansas for the past ____ years.
  2. I have resided at the following addresses for the last ten (10) years:

(list most recent first)

Address (Street, Town or City, State & Zip From (Month/Year) To (Month/Year)
.    
.    
.    
.    
.    
.    
.    

 

Signature________________________________________________________

SUBSCRIBED AND SWORN TO before me this _________ day of ____________, 20 __ . 

Notary Public______________________________________________     

My Appointment Expires: __________________________