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Certificate of Residency/Affadavit for Blaine County, Idaho
Please complete all items below:
Name:______________________________________________________________________ Phone:____________________
last first middle last
Current Mailing Address: ___________________________________________________________ ID _________
number and street or P.O. box city state zip
Blaine County Address: ____________________________________________________________________
physical address, not P.O. box city zip
I have lived at this address since ____________
year
If you live in Blaine County but have not registered to vote or registered your car in the county, please provide documentation that includes your name
showing that you live here. (Example, a copy of a utility bill, a copy of a pay stub from a local business with your name—please mark out personal
information if you submit a stub, or, if you can’t think of any documentation to submit, phone 725-4090 and we’ll figure something out.)
Name of Property Owner where you live ________________________________
Check all that apply:
1.__I am a registered voter in Blaine County.
2.__My vehicle is registered in Blaine County—License Plate #____________________
I certify to the best of my knowledge that all statements I have made in this Affidavit
are complete and true:
_________________________________ _____________________________________
signature printed name
_______________________________
date
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~For Ketchum Arts Festival Use Only Below This Line~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This is to certify that the above named person is a legal resident of Blaine County, Idaho, and is eligible to apply to the Ketchum Arts Festival as a local
artist.
________________________________________________ _____________________
vetted by date
Ketchum Arts Festival, Ketchum and Sun Valley, Idaho
Phone 208 725.4090. E-mail ketchum_arts_festival@yahoo.com
Mail to Ketchum Arts Festival, P.O. Box 3849, Ketchum, ID 83340
Web Design by Ketchum Arts Festival, Copyright 2009
Please complete all items below:
Name:______________________________________________________________________ Phone:____________________
last first middle last
Current Mailing Address: ___________________________________________________________ ID _________
number and street or P.O. box city state zip
Blaine County Address: ____________________________________________________________________
physical address, not P.O. box city zip
I have lived at this address since ____________
year
If you live in Blaine County but have not registered to vote or registered your car in the county, please provide documentation that includes your name
showing that you live here. (Example, a copy of a utility bill, a copy of a pay stub from a local business with your name—please mark out personal
information if you submit a stub, or, if you can’t think of any documentation to submit, phone 725-4090 and we’ll figure something out.)
Name of Property Owner where you live ________________________________
Check all that apply:
1.__I am a registered voter in Blaine County.
2.__My vehicle is registered in Blaine County—License Plate #____________________
I certify to the best of my knowledge that all statements I have made in this Affidavit
are complete and true:
_________________________________ _____________________________________
signature printed name
_______________________________
date
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~For Ketchum Arts Festival Use Only Below This Line~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This is to certify that the above named person is a legal resident of Blaine County, Idaho, and is eligible to apply to the Ketchum Arts Festival as a local
artist.
________________________________________________ _____________________
vetted by date
Ketchum Arts Festival, Ketchum and Sun Valley, Idaho
Phone 208 725.4090. E-mail ketchum_arts_festival@yahoo.com
Mail to Ketchum Arts Festival, P.O. Box 3849, Ketchum, ID 83340
Web Design by Ketchum Arts Festival, Copyright 2009
This certificate is required for artists applying as locals (Blaine County residents).
Locals and former locals are not juried. If you are a Blaine County resident, but you do not want to submit this form with your
application, please submit 5 slides of your work and 1 of your booth for our jury.
If you choose to submit this application, we will keep it on file, and you will be considered a local, or, if you move, a former local.
Locals and former locals are not juried. If you are a Blaine County resident, but you do not want to submit this form with your
application, please submit 5 slides of your work and 1 of your booth for our jury.
If you choose to submit this application, we will keep it on file, and you will be considered a local, or, if you move, a former local.
Click this link for a printable version of this certificate: