I, [Your Name], residing at [Your Company Address], do hereby solemnly affirm and declare as follows:
I am a citizen of the United States and am financially sponsoring my spouse, [Spouse Name], for immigration to the United States.
I affirm that I am financially capable and willing to support [Spouse Name] financially throughout her immigration process and to ensure that she will not become a public charge in the United States.
I provide the following details regarding my financial status:
Annual Income: $60,000
Source(s) of Income: Full-time employment at [Your Company Name]
Additional Sources of Financial Support: None
I do not have dependents relying on my financial support.
I undertake the following obligations:
To provide financial support to [Spouse Name] for her basic needs, including but not limited to food, shelter, clothing, and medical care.
To ensure that [Spouse Name] does not become a burden on public resources in the United States.
To reimburse any costs incurred by the government in providing means-tested public benefits to [Spouse Name].
I understand that my financial sponsorship obligation will continue until:
[Spouse Name] becomes a citizen of the United States.
[Spouse Name] has earned or can be credited with 40 quarters of work in the United States under the Social Security Act.
[Spouse Name] leaves the United States permanently.
I am deceased.
I am aware of the legal implications of signing this affidavit of support, including but not limited to my obligation to reimburse the government for means-tested public benefits provided to the sponsored individual.
I hereby affirm that the information provided in this affidavit of support is true and accurate to the best of my knowledge and belief.
[Your Name]
[Date]
Subscribed and sworn before me this [Date].
[NOTARY PUBLIC NAME]
My commission expires: [NOTARY EXPIRATION DATE]
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