Fillable Printable Affidavit of Support - University of Missouri

Affidavit of Support - University of Missouri

Affidavit of Support

Rev. 12/5/13



Submit completed, original form with supporting financial documentation.



The affidavit must be less than one year old upon intended date of enrollment or date of I-20 update.



All financial documentation must be equal to or greater than the estimated minimum yearly cost.



Please refer to the fee sheet for the estimated minimum yearly cost. These figures are subject to

change without notice.

Student name: ____________________________________________________________________________

MU student number (if known): ____________________________

PART I: Sponsor information

Name: __________________________________________________________________________________

Last (family) First (given)

Address: ________________________________________________________________________________

________________________________________________________________________________

City State/Province Postal code Country

Email: _____________________________________ Relationship to student: ________________________

Parent, aunt/uncle, friend, etc.

Telephone: _________________________________ Deposit(s) into savings (US$): ___________________

Include country and area codes

Country of citizenship: ___________________________________________________

PART II: Certification

This affidavit is made by me for the purpose of assuring the United States government that the person named

_______________________________________ will not become a public charge while in the United States.

(student name)

I am willing and able to maintain and support the person named above.

I intend to make specific financial contributions for the support of the person named above in the amount of

US$ _______________________ per year for the period of ____________________ year(s).

I have attached an original bank letter(s) on official stationary, or a certified true copy, in English, or

accompanied by an official translation, indicating an exact amount of readily available funds to support the

person named above.

PART III: Oath/affirmation

I acknowledge that I am aware of my responsibilities as the sponsor of the person named above. I swear or

affirm that (1) I know the contents of this affidavit signed by me and (2) the statements are true and correct.

Signature of sponsor: _______________________________________________ Date: ________________

mm/dd/yyyy

Printed name of sponsor: ___________________________________________________________________