Criminal Forms - Formularios Penales. Residence Address: Street Address and Apartment Number, City, State, and Zip Code.Add the amounts, and enter your total in the box "total self-employment expenses. ¿Para qué es el formulario? Such form was originally published in the Texas Register on December 29, 2017. This affidavit is for victims of identity theft. To avoid delays do not use this form if you have already filed a Form 14039 for this incident. Declaracion Escrita Bajo Juramento. Fill out only one box (option). Fillable forms include treasurer appointments forms, security forms, affidavit forms, and conflict of interest forms.