Affidavit Of Support Submitter
I, [Your Name], residing at [Your Company Address], do hereby affirm and declare under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief:
1. Personal Information:
Name: [Your Name]
Address: [Your Company Address]
Contact Number: [Your Company Number]
Email Address: [Your Email]
2. Information about the Person Being Sponsored:
Name of the Person Being Sponsored: [Sponsored Person Name]
Relationship to the Sponsor: [Relationship]
Immigration Status: Pending Adjustment of Status (if applicable)
3. Financial Information of the Sponsor:
Annual Income: $50,000
Assets:
Liabilities: None
4. Declarations:
5. Signature:
Signed this day of [Date].
[Your Name]
[Date Signed]
Sworn to and subscribed before me this day of [Date].
NOTARY ACKNOWLEDGEMENT
State of [State]
Country of [Country]
On this [Date], before me, a Notary Public, personally appeared [Your Name], known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to this instrument, and acknowledged that he executed the same in his authorized capacity and that by his signature on the instrument, the person, or the entity upon behalf of which the person acted, executed the instrument.
Witness my hand and official seal.
[Notary Public's Name]
My Commission Expires:
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