Affidavit of Single Status

I, , of legal age, residing at , after having been duly sworn to in accordance with law, do hereby depose and state that:

  1. My full name is .
  2. I was born on at .
  3. My nationality is .
  4. I am currently single, have not been previously married, and am free to marry.
  5. This affidavit is made to attest to my single status for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this day of , 20 at .

AFFIANT
Date:

SUBSCRIBED AND SWORN

Subscribed and sworn to before me this day of , 20 at .

NOTARY PUBLIC
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