PO Box 9351
Des Moines, IA 50306-9351
A member of the Principal Financial Group®
AFFIDAVIT OF IDENTITY
The Affidavit of Identity is used to authenticate your identity and verify your signature. This form
will need to be notarized and witnessed.
STATE OF ____________________ )
SS. ___________________________ )
COUNTY OF __________________ )
I, the affiant herein, being first duly sworn upon oath does hereby state:
1. That my legal name is ___________________________________________________.
2. That my Social Security number is ______________________________________________.
3. That my current legal address _________________________________________________
4. That my date of birth is _______________________________________________________.
5. That I did present to my Notary Public, a valid driver’s license or other acceptable
photographic identification, issued in the State of __________________________________
License #_____________________or other ID # __________________________) as proof of
6. That the purpose of this Affidavit is to establish and verify that the Affiant is the same as the
individual who is a customer of Principal Bank.
7. That the Affiant understands that falsification in any degree of this Affidavit is a felony
criminal offense and will subject such Affiant to prosecution to the fullest extent of the law.
Signature of Affiant: ____________________________________________________________________
Print full legal name of Affiant: ___________________________________________________________
Current Telephone Number of Affiant: ______________________________________________________
* Subscribed and sworn to (or affirmed) before me on this _____ day of _______________, 20____, by
_______________________________ (Affiant), proved to me on the basis of presentation of satisfactory