AFFIDAVIT OF SINGLE STATUS
On this date of ____________________________, I, ____________________________ , (mm/dd/year) (Name of Afñant)
residing at________________________________________________________________ (Street and Number) (City) (State) (Zip) (Country)
BE1NG
On this date of ____________________________, I, ____________________________ , (mm/dd/year) (Name of Afñant)
residing at________________________________________________________________ (Street and Number) (City) (State) (Zip) (Country)
BE1NG