Single Status Affidavit
This Single Status Affidavit is executed in compliance with [Relevant State Law], which may include sections of the Uniformed Services Employment and Reemployment Rights Act and other applicable state regulations.
The undersigned affiant, [Your Full Name], hereby declares the following:
- Date of Affidavit: [Insert Date]
- Current Address: [Insert Address]
- Date of Birth: [Insert Date of Birth]
- Social Security Number: [Insert SSN]
I affirm that:
- I am single and unmarried.
- I have not entered into a relationship that would constitute a legal marriage.
- There are no existing obligations that would contradict my single status.
This affidavit shall serve as proof of my single status for any relevant legal or administrative purposes. I understand that providing false statements may lead to legal consequences.
Executed this [Insert Day] of [Insert Month], [Insert Year].
Signature: ________________________
Printed Name: [Your Printed Name]
Sworn and subscribed before me this [Insert Day] of [Insert Month], [Insert Year].
Notary Public: ________________________
My Commission Expires: ________________