Ins Citizenship Forms - Oklahoma Page 3

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AFFIDAVIT VERIFYING LAWFUL PRESENCE IN THE UNITED STATES
Option 2 – Affidavit Verifying Qualified Alien Status
Affidavit of
______________________________________
______________________
Applicant’s Name [please print legibly or type]
License No. [If applicable]
STATE OF OKLAHOMA
)
) ss:
COUNTY OF ___________ )
____________________________, of lawful age, being first duly sworn, upon
[Applicant’s Name]
oath states, under penalty of perjury, as follows:
I am a qualified alien under the Federal Immigration and Naturalization Act, and I am
lawfully present in the United States.
________________________________________
[Signature of Applicant]
Subscribed and sworn to or affirmed before me this ____ day of ______________,
20___, by ______________________________.
[Applicant]
_________________________________________
NOTARY
My Commission Expires: _______________
(Seal)

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