ALABAMA STATE UNIVERSITY

AFFIDAVIT OF FINANCIAL SUPPORT

(Print all answers except where a signature is required)

I ____________________________________________________ state that:

(Name of Sponsor)
I was born in______________________________________ on _____________
(City and Country) (Date)
I am a citizen of_______________________________________
(Country)
I will be responsible for the support of
___________________________________while
(Name of Student)
he/she holds student visa status in the United States. My relationship to the student is
that of
_________________________________________.
I am __________________________by
___________________________________
(Self Employed/Employed) (Name of Company or Business)
from which I derive a monthly income of __________________ (U.S. dollars). I
have other sources of income with an estimated monthly value of
_______________ (U.S. dollars). I have bank deposits totaling
__________________ (U.S. dollars). I will transfer _________ (U.S. dollars)
annually to meet the expenses of _______________________ (Name of Student).

I understand that the annual expense for a student in the United States is
subject to change without prior notice. I am confident I will be able to pay a
reasonable increase in the student’s total yearly expense.
I understand that the student cannot depend on income from sources in the
United State except as noted on his/her Form I-20 – Certificate of Eligibility.
I understand that holders of student visas are not permitted to work in the
United States (except on campus) without U.S. Immigration approval.

Signature of Sponsor________________________________________
NOTE: Please attach documentary evidence of income or savings (letter
from employer, letter from bank, or similar evidence).

Subscribe and sworn to this_____________ day of _________20____.

(Day) (Month) (Year)
Signature of Notary______________________________

SEAL_______________________