Affidavit Of Annual Financial Support Page 2

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Affidavit of Annual Financial Support
THIS IS MY SWORN PROMISE OF CASH SUPPORT
I, _______________________________ promise that I can and will give no less than
My name (please print)
U.S.$ ______________________in cash FOR EVERY YEAR of study at
MONMOUTH UNIVERSITY
To _____________________________________________________________
Full name of student (please print)
My relationship to the student is ______________________________________
Parent, spouse, friend (please print)
My address is ____________________________________________________
Phone ______________________________ Fax _______________________
E-mail __________________________________________________________
The following persons are fully or partially dependent upon me for their support (Do not include student named
above).
____________________ ___________________________ ______________
name
relation to me
age
_______________________
_________________________________
__________________
_______________________
_________________________________
__________________
Name of my employer _______________________________________________
Annual salary $_____________________(USD) Other income $ _____________ (USD)
Proof of income must be attached.
I swear the information I have provided above is true and correct.
______________________________________________
Signature of Sponsor
Sworn and subscribed before me this __________ day __________________________
______________________________________________
Signature of Notary

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