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__________________[Name], under the penalty of perjury, deposes and says:
I am making this affirmation in connection with bona fide marriage between _______________ (“Husband”) and ______________ (“Wife”) (Beneficiary and Petitioner, collectively, “Couple”). The contents of the affirmation are based on my own knowledge and are true.
1. I was born on ______________ in ____________________.
2. My current address is __________________________________________.
3. The Husband/Wife is my ____________________.
4. I became aware of the relationship between the Couple in or about ___________.
5. I personally attended their wedding held in __________________________.
6. I have personal knowledge of the bona fide marriage of the Couple. Their marriage is genuine.
Name:
Signature: _________________________
Address:
Phone:
email: