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Non Resident Affidavit Of Financial Support Fillable (Montgomery College)
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Country of origin: US
File type: PDF
U.S.A. forms for Montgomery College
________________________ _____________________________________ ____________________________________ ___________ , r esid i ng at
N AM E OF SPON S OR________________________ _____________________________________ ____________________________________ ________________ , ag r ee
COM PL ETE ADDR ESS OF SPON S O R * * t o sp o n so r ____________________________ _____________________________________ ____________________________________ ______ .
N AM E OF ST UDE N T AN D/O R ST UDE N T ’S DE PENDENT SP O N SOR ’S R EL A TION SH IP T O ST UD E NT : _______________ ____________________________________ _________________________ .
I / We cer t ify th a t I/we a m / ar e a b le t o sup p o r t th e stu d ent na m ed ab ov e fo r a to t al ti m e o f________yea r s (t o sup p o r t as lo ng as
n eed ed e nt er “ D/ S” ). I/w e wi ll p r o v i d e: ( P lea se ch eck wh at y o u wi ll su p p o r t ) :
________ Liv i ng ex p en ses ( r o om , b o ar d , m ed ical i nsu r an ce, t r an spo rt at i o n, p er so n al ex p en ses , o t h er ) .
________ Scho o l ex pen ses ( t u it io n, f ee s, b o oks a nd sup p l ies, o t he r ) . I / we u n d er sta nd t ha t t h e estim at ed co st f o r ON E y ear o f ful l ti m e s t u d y at M o n t g o m er y C o l leg e ( a ll liv i ng a nd scho o l ex p en ses)
is $ 2 8,0 0 0 ( U S D) f o r t he C u r r en t A ca d em i c Yea r a n d i s sub j ect t o ch a ng e.
I n ad d i t i o n to t he st ud en t n am ed a b o v e, I/we al so su p p o r t: A spo use who is________co m p let ely ________p a r ti al ly d ep end en t u p o n m e for sup p o rt .
C h il d r en ________( t o ta l #) wh o ar e co m p l ete ly _______( #) o r p ar t ia ll y___ ____( #) d ep en d en t u p o n m e for sup p o r t .
Th i s affi d avit assu res t h at t h e stu d e n t n am e d a b o ve wi l l no t b eco m e a p u b l i c cha rg e o f t h e Uni t e d S t at es.
________________________ ________________________ ( Sig n at u r e M U ST b e n o t a r iz ed ) S IGNA T U R E OF SP ON S OR Dat e: M o n t h ____________________ d ay ____________________, Yea r 2 0 ______ N O T AR Y SE AL H E R E
________________________ _____________________________________ ____________________________________ _______________________
SIGN A TUR E AN D SE AL O F AUTH OR IZE D N O T AR Y P UB LIC (offic ia l lice n s ed by a gov e rn ment to verif y th e ident ity o f th e sign er ) .
The fo llo win g ev i d ence o f a b ili t y to p r o v id e fi n an cia l sup p o r t m ust b e sub m itt ed wit h t h is co m p let ed a ffi d av i t:
1 . Sp o nso r Ob l ig a ti o n s Do cum ent SIGN E D B Y TH E SP ON S OR .2 . A n o r ig i n al let te r f r o m t he spo nso r ' s ba n k ( p erso n al savi n g o r che cki n g a ccou n t s ON L Y) th a t in d ica tes th e cur r en t
av a il ab le b a la nce in U n it ed St at es D o lla r s. M INIM U M $ 2 8 ,0 0 0 t o t al .3 . A n o r i g in al l ett er f r o m sp o n sor ' s em p lo y er th at v er ifi es an n ua l sala r y , o r , i f sel f-em p l o yed , t he sp o n so r ' s m o st r ecen t
in co m e t ax r et ur n o r o th er p r o of o f t h e i nco m e o f t h e in d iv id ual p er s o n sig n in g t h is A ffid a v it .
N O TE : Add it i o n a l d o cu m en t a t i o n m a y b e req u i red as e v i d e n ce o f sp o n sor’ s a b i l i t y t o p r o vi d e fin an ci al su p p o rt.
F o r an y d ep en d en t a cco m p an y in g th e stu d en t, p l ease li st t he f ul l n am e, bi r th d a te, co u n tr y o f b ir t h , an d re lat i o nsh ip t o stu d en t on
a sep ar a te p ap er al o n g wi th a no ta r iz ed sta te m en t in d i cat in g wh o wil l b e p r o vi d in g t h e d ep e nd en t ' s fi n an cia l sup p o r t .
* Sp o n so rs who AR E U S cit i zen s, p e rma ne n t r e si d en t s OR w i t h a v al i d n o n -i m m i gran t vi sa: u se USCIS form I-1 3 4 Affid avi t o f
Fi nan ci a l S u pp ort , see In t ern at i o n al web p ag e fo r In st ruct i o n s.** If t h e spo nso r i s resi di ng i n si d e t h e U .S .: W h at i s t h e sp o n sor’ s Im m i g rat i o n St at u s? _____________ , en d i n g o n ______________ .
