Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], in the State of [STATE], being duly sworn, depose and state as follows:

Statement of Facts

1. I am a United States citizen/lawful permanent resident and am financially sponsoring [NAME OF IMMIGRANT], who is seeking to immigrate to the United States.

2. I understand that as the sponsor, I am required to submit Form I-864, Affidavit of Support, along with the required Affidavit of Support Fee to the U.S. Citizenship and Immigration Services (USCIS) as part of the immigration process.

3. I further understand that the purpose of this affidavit is to demonstrate that I have the financial means to support the sponsored immigrant(s) at an amount not less than 125% of the Federal Poverty Guidelines, as established by the Department of Health and Human Services.

Sworn Oath

I solemnly swear (or affirm) under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Date: [DATE SIGNED]

Notarization

State of [STATE]

County of [COUNTY]

On this [DATE] day of [MONTH], [YEAR], before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same for the purposes therein contained.

Witness my hand and official seal:

[NOTARY PUBLIC STAMP]

[NOTARY PUBLIC NAME]

My Commission Expires: [EXPIRATION DATE]

Affidavit Templates @ Template.net