Electronic Signature Affidavit

This Electronic Signature Affidavit allows an individual to formally verify that an electronic signature affixed to a document was executed by them with full knowledge and intent. As electronic transactions become more common, certain institutions, agencies, or transaction parties may request written confirmation that an electronic signature is authentic and legally binding.

This affidavit provides a clear, organized way to affirm the validity of an electronic signature while creating proper documentation for recordkeeping purposes.

It helps ensure that the signer’s identity, intent, and acknowledgment of the electronically signed document are formally declared and, when required, notarized for added credibility.

It includes:

• Affiant identification section

• Designated area to describe the electronically signed document(s)

• Field to list the date(s) the electronic signature was applied

• Statement affirming intent to sign and be legally bound

• Voluntary declaration under penalty of perjury

• Affiant signature and printed name fields

• Notary acknowledgment section for transactions requiring notarization

Format:

Fillable PDF (print or complete digitally)

Use Cases:

Remote transactions, digital contracts, real estate documents, business agreements, school or licensing forms, identity verification requests, or situations where proof of an electronic signature is requested.

Notarization:

Notary certificate included for circumstances where notarization is required or requested by the receiving party.

⚠️ Disclaimer:

This is a general-use affidavit designed to verify an electronic signature. Acceptance of this form is determined by the receiving agency, organization, or transaction party. Electronic signature laws and requirements may vary by state and document type. Consult an attorney to ensure compliance with applicable laws. Utsey Notary Services LLC does not provide legal advice.

Instructions:

Download instantly after purchase. Complete the affidavit digitally or print and fill out by hand. If required, sign in the presence of a licensed notary. Submit the completed affidavit to the requesting party and retain a copy for your records.