What types of affidavit samples are available?

This page includes affidavit samples for name change, income proof, address proof, and general purpose. Each sample shows the specific format, declaration clauses, and notary attestation needed.

Can I download the affidavit sample as PDF?

Yes, use your browser's Print > Save as PDF option to download this sample page. For a personalized affidavit, use our generator and download your custom document.

What is the difference between affidavit sample and format?

An affidavit format is a blank template with placeholders. An affidavit sample is a completed example showing how the final notarized document looks with real data filled in.

Does the affidavit sample include notary section?

Yes, all affidavit samples on this page include the notary public attestation section with space for the notary's signature, seal, and registration number. This is essential for legal validity.

Is the affidavit sample format legally valid?

The format structure shown in the samples follows standard legal practice. For actual use, replace example details with real information, print on stamp paper, and notarize before a Notary Public or Oath Commissioner.

Can I edit the affidavit sample in Word?

Yes, copy the sample text into Microsoft Word or Google Docs, replace the example details with your information, and customize as needed. Our generator automates this process with proper formatting.

Affidavit Sample — View Filled Examples for All Purposes

Q: What is an affidavit sample?

An affidavit sample is a pre-filled example showing how a completed sworn affidavit looks. It includes example deponent details, declaration paragraphs, verification clause, and notary attestation for reference.

Q: Can I use the affidavit sample as my actual document?

You should not copy the sample directly as it contains example data. Use our Affidavit Generator to create a personalized affidavit with your actual details, then print on stamp paper and notarize.

See complete affidavit samples with example details filled in for name change, income proof, address proof, and general purpose. Use these as a reference before creating your own notarized affidavit.

Samples last reviewed: June 2026 | Valid across India

✓ Free Samples ✓ 4 Examples ✓ Name Change ✓ Income & Address ✓ Notary Section

Affidavit Samples — Filled Examples

Below are fully completed affidavit samples for different purposes. Each sample uses hypothetical details for illustration. Study the structure, then use our generator to create your personalized affidavit.

Name Change Affidavit Sample

Affidavit for name change after marriage or deed poll:

NAME CHANGE AFFIDAVIT SAMPLEAFFIDAVIT I, Ms. Priya Sharma, aged 28 years, daughter of Mr. Rajesh Sharma, residing at B-204, Green Apartments, Andheri East, Mumbai - 400093, do hereby solemnly affirm and declare on oath as follows: 1. I was born on 15th March, 1998 and my original name recorded in my birth certificate is Priya Sharma. 2. I got married on 10th February, 2026 and after marriage I have adopted the surname of my husband. I hereby declare that I have changed my name from Priya Sharma to Priya Kapoor. 3. I am executing this affidavit to record the aforesaid change of name and to request all concerned authorities to update my records accordingly. VERIFICATION I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom. Verified at Mumbai on this 15th June, 2026. DEPONENT Signature: ___________________ Name: Ms. Priya Kapoor SOLEMNLY AFFIRMED AND SIGNED before me on this 15th June, 2026 at Mumbai. NOTARY PUBLIC Signature: ___________________ Name: Mr. Suresh Gupta Seal: [NOTARY SEAL] Registration No.: N-12345/2026

Income Proof Affidavit Sample

Self declaration affidavit for income proof:

INCOME AFFIDAVIT SAMPLEAFFIDAVIT I, Mr. Vikram Singh, aged 35 years, son of Mr. Rajendra Singh, residing at Flat 302, Sunshine Tower, Sector 62, Noida - 201301, do hereby solemnly affirm and declare on oath as follows: 1. I am employed as a Software Engineer with ABC Technologies Pvt. Ltd. and my annual income from all sources for the financial year 2025-2026 is Rs. 12,50,000 (Rupees Twelve Lakh Fifty Thousand Only). 2. My income comprises salary from employment (Rs. 11,50,000) and interest from fixed deposits (Rs. 1,00,000). 3. This affidavit is being executed at my own instance for the purpose of submitting to the bank for loan application and no one is forcing me to make this declaration. VERIFICATION I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief. Verified at Noida on this 10th June, 2026. DEPONENT Signature: ___________________ Name: Mr. Vikram Singh SOLEMNLY AFFIRMED AND SIGNED before me on this 10th June, 2026 at Noida. NOTARY PUBLIC Signature: ___________________ Name: Mr. Anil Kumar Seal: [NOTARY SEAL] Registration No.: N-67890/2026

Address Proof Affidavit Sample

Affidavit for proof of residence when no documents exist:

ADDRESS AFFIDAVIT SAMPLEAFFIDAVIT I, Mrs. Meena Gupta, aged 42 years, wife of Mr. Deepak Gupta, residing at House No. 45, Ward No. 12, Civil Lines, Kanpur - 208001, do hereby solemnly affirm and declare on oath as follows: 1. I have been residing at the above-mentioned address for the past 8 years since January 2018. 2. I do not have any utility bill or registered rental agreement in my name at this address. I reside in a self-owned house where the title deed is in my husband's name. 3. This affidavit is submitted to the passport office as proof of my residence address. VERIFICATION I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief. Verified at Kanpur on this 5th June, 2026. DEPONENT Signature: ___________________ Name: Mrs. Meena Gupta SOLEMNLY AFFIRMED AND SIGNED before me on this 5th June, 2026 at Kanpur. NOTARY PUBLIC Signature: ___________________ Name: Mrs. Sunita Sharma Seal: [NOTARY SEAL] Registration No.: N-54321/2026

General Purpose Affidavit Sample

General affidavit for miscellaneous declarations:

GENERAL AFFIDAVIT SAMPLEAFFIDAVIT I, Mr. Arjun Mehta, aged 45 years, son of Mr. Hari Mehta, residing at 15, Market Road, Sadar Bazar, Delhi - 110006, do hereby solemnly affirm and declare on oath as follows: 1. I am the owner of vehicle bearing registration number DL-05-AB-1234 (Hyundai i20, 2022 model). 2. I have transferred the ownership of the said vehicle to Mr. Rohit Kumar on 1st June, 2026 and have no objection to the transfer of registration in his name. 3. There are no pending fines, loans, or legal disputes related to the said vehicle. VERIFICATION I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct. Verified at Delhi on this 8th June, 2026. DEPONENT Signature: ___________________ Name: Mr. Arjun Mehta SOLEMNLY AFFIRMED AND SIGNED before me on this 8th June, 2026 at Delhi. NOTARY PUBLIC Signature: ___________________ Name: Mr. Pradeep Verma Seal: [NOTARY SEAL] Registration No.: N-98765/2026

Create Your Affidavit Now →

Understanding the Affidavit Sample Structure

Each affidavit sample follows this standard structure:

Title: "AFFIDAVIT" at the top of the document
Deponent Introduction: Name, age, parentage, and residential address
Declaration Paragraphs: Numbered paras stating facts in first person
Verification Clause: Confirming truthfulness of the contents
Deponent Signature: Signed by the person making the affidavit
Notary Attestation: Signed and stamped by Notary Public with registration number

Affidavit Sample PDF Download

To download any affidavit sample as PDF, use your browser's Print (Ctrl+P) and select "Save as PDF". For a personalized affidavit, use our generator to create a custom document with your details.

Affidavit Sample vs Blank Format

Aspect	Affidavit Sample	Affidavit Format
Content	Filled with example data	Blank with placeholders
Purpose	Reference and learning	Template to create your own
Use Case	See completed affidavit	Fill via generator
Types	Name change, income, address, general	Customizable for any purpose