Affidavit of Bachelorhood/Spinsterhood

[Insert Country of Affiant]

AFFIDAVIT OF BACHELORHOOD/SPINSTERHOOD

I, ______of ______, make oath and say as follows:

1. That I am ______years of age.

2. That I am a citizen of ______.

3. That I am a Single and have never gone through a ceremony of

marriage.

4. That the contents of this affidavit are true to the best of my knowl-

edge, information and belief.

SWORN TO at ______, ) ) this ____day of ______) ) A.D., 20______)______

BEFORE ME,

______Notary Public United States of America Affidavit of Single Status

I, ______, residing at (Name of Affiant) ______(Street) (City) (State) (Postal Code) personally appeared before the undersigned notary public, and under oath or affirmation make the following statements:

I was born on ______at ______. (Date) (City and Country)

I am a citizen of ______. (Country)

I state that: I am currently single, having never been married. ______Date: ______(Signature of Affiant)

State of ______County of ______

Signed and sworn to (or affirmed) before me on ______. (Date) by ______, (Printed name of individual making statement) who proved to me on the basis of satisfactory evidence to be the person who appeared before me.

______Personally Known ______Produced Identification Type and # of ID (last 4 digits) ______ID Expiration Date ______

______Signature of Notary Public (Stamp/Seal Here) ______Name of notary, typed, stamped, or printed

My Commission expires: ______