Form I-361 - Affidavit Of Financial Support And Intent To Petition For Legal Custody Page 7

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If the affidavit was prepared by other than the deponent, complete the following:
I declare that this document was prepared by me at the request of the deponent, and it is based on all information of which I have any
knowledge.
(Signature)
(Print or Type Name)
(Date)
Address (Street Number and Name, Suite/Room, City, State, Zip Code)
E-Mail Address (if any)
Telephone Number
Submit This Form in Duplicate.
Form I-361 (Rev. 04/28/09)Y Page 4

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Parent category: Legal