Declaration Of Finances - Illinois State University

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Declaration of finances
Student’s name Last (Family)
First (Given)
Middle
Date of birth (mm/dd/yyyy)
University Identification Number (UID), if known
A Certificate of Eligibility (I-20 or DS-2019) will not be authorized until your financial verification is received.
Providing false information may jeopardize your visa status and result in the University revoking your acceptance.
U.S. immigration law requires international students to prove they have funds available for their educational and living
expenses. The chart on the next page shows the amount you must verify.
Please provide an official bank statement, letter on bank stationery signed and dated by a bank official, or
the box below signed and stamped by a bank official that shows the necessary funds.
Certification by bank official
Official bank seal or stamp
I verify that ______________________ has funds on deposit or available in
the amount of $______________ in U.S. dollars to
support the above-named student’s educational expenses. This
information is given in strict confidence and without any
responsibility of the bank or its signing officers.
_______________________
____________
Signature of bank official
Date
_______________________
Name of bank official (please print)
Your sponsor, the person named on the account you are using for financial verification, must agree to the following
statement and sign and date below. If your name is on the account you are using for verification, you do not need to
complete this section.
I hereby state that I am willing and able to provide the funds stated for the educational expenses of the above-named student.
I understand that the tuition and fees are subject to change yearly without prior notice.
Sponsor signature
Date (mm/dd/yyyy)
Please read the following statement and sign and date below.
I certify that the information on this application and in any other supporting documentation, bank statements, letters etc. are true and
correct. I understand that any false information; willful or negligent misrepresentation, or failure to disclose any requested information will
constitute grounds for Illinois State University revoking my acceptance and may jeopardize my visa status.
Student signature
Date (mm/dd/yyyy)
Please return this completed form to:
Illinois State University
International Admissions
Campus Box 2200
Normal, Illinois 61790-2200 USA

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