This Affidavit of Single Status (the “Affidavit”) is made on [Date] by:
Affiant: [Full Legal Name], date of birth: [DOB], place of birth (optional): [Place], nationality: [Nationality], address: [Address], phone/email: [Contact].
Passport/ID (Optional): [Type + issuing country + last 4 digits only]
1. Statement of Single Status
1.1 I am currently: ☐ single/never married ☐ divorced ☐ widowed.
1.2 I am not presently married to any person and I am legally free to marry (to the extent required by applicable law).
2. Prior Marriage(s) (If Any)
2.1 Prior marriage(s): ☐ None ☐ Yes (details):
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Former spouse name: [Name]
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Marriage date/place: [Date/Place]
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Marriage ended by: ☐ divorce ☐ annulment ☐ death
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Date ended: [Date]
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Proof attached: ☐ divorce decree ☐ annulment order ☐ death certificate
Former spouse name: [Name]
Marriage date/place: [Date/Place]
Marriage ended by: ☐ divorce ☐ annulment ☐ death
Date ended: [Date]
Proof attached: ☐ divorce decree ☐ annulment order ☐ death certificate
3. Purpose (Optional)
3.1 I am making this Affidavit for: ☐ marriage registration ☐ visa/immigration ☐ consulate request ☐ other: [Purpose].
4. Supporting Documents (Attach as Available)
4.1 ☐ Copy of passport/ID
4.2 ☐ Proof of address (optional)
4.3 ☐ Divorce decree/annulment order/death certificate (if applicable)
4.4 ☐ Birth certificate (optional)
4.5 ☐ Other: [List]
5. Apostille/Legalization (Optional)
5.1 This Affidavit may need: ☐ notarization only ☐ apostille ☐ consular legalization, depending on the receiving country’s requirements.
6. Statement Under Oath
6.1 I declare under penalty of perjury that the statements in this Affidavit are true and correct to the best of my knowledge.
Signatures
Affiant: [Full Name]
Date: [Date]
Signature: ___________________________
Witnesses (If Required)
Witness Name: [Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (If Required)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Affiant Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________