An affidavit from a former employer named . My residence address is to be classified as private data.(Refer to Rule 4B(4)). If none of the above statements apply to you, then you may be eligible to apply using form DS-82 or DS-5504 depending on your circumstances. Administering an oath or affirmation is an important role of a Notary. Understand when and how to perform both types of declarations using the NNA's guide. Affidavits. Born in Minnesota. Born or Previously Enrolled in MA in Another State. A sworn statement, also known as an affidavit or sworn declaration, is a document that presents facts relevant to a legal proceeding. 1b that matches the residence address.