Affidavit of Single Status

This is the required information to prepare the document.

FULL NAME AS IN PASSPORT FULL NAME AS IN PASSPORT First Last
ADDRESS ADDRESS
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
DATE OF BIRTH (Month day, year)
PLACE OF BIRTH
NATIONALITY
EMAIL

We will use this email to inform you of the office location.
TYPE OF ID (Preferred Passport)
NUMBER OF ID YOU CHOSE:

Bring this ID to your appointment.
YOUR CURRENT CIVIL STATUS
DATE OF DIVORCE DATE OF DIVORCE / MM / DD YYYY
DATE SPOUSE'S DEATH DATE SPOUSE'S DEATH / MM / DD YYYY
PLEASE, CONFIRM:

PLEASE, CONFIRM: I declare that this information is true and accurate.