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Home > Student Services > Counseling > International Counseling > Forms and Links > Affidavit of Free Room and Board for an F-1 Student

Affidavit of Free Room and Board for an F-1 Student

 

AFFIDAVIT OF FREE ROOM AND BOARD FOR AN F-1 STUDENT
 
Last Name of Sponsor         ____________________   First Name_________________
 
Complete Address               ________________________________________________
 
Relationship to student         ________________________________________________
 
 
I hereby certify that I am willing and able and do promise to provide 
 
___________________________________________________ with free Room
                                    (Name of Student)
 
and Board for the duration of his/her studies. He/she will NOT pay for rent,
 
utilities or groceries while living in my residence. I am aware that this arrangement is
 
valued at $6,000 per year, which can be subtracted from the overall cost of attendance
 
for purposes of I-20 issuance ($18,000).
 
 
This affidavit WILL NOT BE ACCEPTED unless it has been signed by the
 
sponsor in the presence of a notary public and signed and sealed by the notary
 
public. Sponsors in the United States must be U.S. citizens or permanent
 
residents.
 
 
AFFIRMATION OF OATH
 
 
I hereby affirm or swear that the contents of the statements in this affidavit are true and correct.
 
_______________________________
                 (Signature of Sponsor)
 
Sworn and subscribed to before me this                                                       SEAL OR STAMP
 
          day of                                  , 200        .
 
 
_______________________________
                 (Signature of Notary)
 

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