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Affidavit Single Status

This affidavit declares that the affiant is single and eligible to marry a Peruvian citizen. It provides identifying information about the affiant such as name, date of birth, place of birth, occupation, address and social security number. It also provides the same identifying information about the Peruvian citizen the affiant intends to marry. The affiant signs to affirm that the statements in the affidavit are true and acknowledges responsibility under US perjury law.

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Birendra Shekhawat
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42 views

Affidavit Single Status

This affidavit declares that the affiant is single and eligible to marry a Peruvian citizen. It provides identifying information about the affiant such as name, date of birth, place of birth, occupation, address and social security number. It also provides the same identifying information about the Peruvian citizen the affiant intends to marry. The affiant signs to affirm that the statements in the affidavit are true and acknowledges responsibility under US perjury law.

Uploaded by

Birendra Shekhawat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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AFFIDAVIT OF SINGLE STATUS

On this date of _____________________________, 2010, I, the undersigned,

Full Name (Nombre):

Male (Masculino) or Female (Femenino):

Date of Birth (Fecha de Nacimiento):

Place of Birth (Lugar de Nacimiento):

Social Security Number (Numero de Seguro Social):

US Passport No (Numero de Pasaporte):

Current Occupation (Ocupacion Actual):

Employer (Empleador):

Permanent Address (Direccion Permanente):

Being duly sworn in, hereby solemnly declare that, under the law of the
United States, I am currently single, have never been married or am legally
divorced, and fully qualified to marry the following Peruvian citizen:

Full Name (Nombre)

Male (Masculino) or Female (Femenino):

Date of Birth (Fecha de Nacimiento):

Place of Birth (Lugar de Nacimiento):

Identified by DNI card number (Documento Nacional de Identidad):

Permanent Address (Direccion Permanente):

I declare that the statements made in this affidavit are true and correct and I
take full responsibility for them under the US law of perjury. I also declare
that I shall marry the above-named person according to the law of Perú.

Signature of the Affiant:

Full Name in Print:

For the Notary Public:


Sworn to and subscribed before me on this _____ day of _____________, 2010

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