 |
AFFIDAVIT I, (name), aged (age), residing at (address), BEING DULY SWORN DEPOSE AND SAY: That I am currently staying with and am fully dependent on my daughter (name) and her husband (name). I swear (affirm) that I know the contents of this affidavit signed by me and the statements are true and correct. (place) (name) Sworn to (affirmed) before me _____________________________________________ this day of _____________________________________________ at _____________________________________________ |
 |