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Fillable Printable Affidavit of Financial Support - Maryland

Fillable Printable Affidavit of Financial Support - Maryland

Affidavit of Financial Support - Maryland

Affidavit of Financial Support - Maryland

MONTGOMERY COLLEGE
Rockville, Germantown, and Takoma Park/Silver Spring, Maryland
AFFIDAVIT OF FINANCIAL SUPPORT
(For Use Only by Sponsors from OUTSIDE of the United States)*
___________________________________________________________________________________residing at
PRINT: NAME OF SPONSOR
_________________________________________________________________________________________agree
COMPLETE ADDRESS OF SPONSOR
to sponsor______________________________________________________________________________.
NAME OF STUDENT AND/OR STUDENT’S DEPENDENT
SPONSOR’S RELATIONSHIP TO STUDENT:_________________________________________________________________.
I/We certify that I/we am/are able to support the student named above for a total period of ______ years (to
support as long as needed enter “D/S”). I/we will provide: (Please check and/or circle what you will support)
______Living expenses (room, board, medical insurance, transportation, personal expenses, other)
______School expenses (tuition, fees, books and supplies, other)
I/we understand that the estimated cost for ONE year of full time study at Montgomery College (all living and
school expenses) is $26,000 (USD) for the Current Academic Year and is subject to change.
In addition to the student named above, I/we also support:
_____a spouse who is____ completely___ partially dependent upon me for support
_____children ___(total #) who are completely___(#) or partially ___(#) dependent upon me for support
This affidavit assures that the student named above will not become a public charge of the United States.
____________________________________________________(Signature MUST be notarized)
SIGNATURE OF SPONSOR
Date: Month___________________ day ____________________,20_____
___________________________________________________________
SIGNATURE AND SEAL OF AUTHORIZED NOTARY PUBLIC
The following evidence of ability to provide financial support must be submitted with this completed affidavit:
1. Sponsor Responsibility Document SIGNED BY THE SPONSOR.
AND
2.An original letter from the sponsor's bank (personal saving or checking accounts ONLY) that
indicates the current available balance in United States Dollars.
AND
3.An original letter from sponsor's employer that verifies annual salary, or, if self-employed, the
sponsor's most recent income tax return.
NOTE: Additional documentation may be required as evidence of sponsor’s ability to provide financial support.
For any dependent accompanying the student, please list the full name, birthdate, country of birth, and relationship to student
on a separate paper along with a notarized statement indicating who will be providing the dependent's financial support.
*U.S. citizens and permanent residents use USCIS form I-134, see International webpage for Instructions
THIS FORM IS VALID FOR AVISA/STATUSAPPLICATION FOR UP TO SIX MONTHS.
08/10/hrk
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