I, ,
S/o ,
aged years,
residing in ,
do hereby solemnly affirm and declare as under:—
1. I purchased the house property bearing No
from Shri
on
2. As a consequence of the aforesaid purchase, I am presently residing in
the aforesaid house from
I have no other place of residence in the
State of ………………..
except the residential address mentioned above.
3. I am swearing to this affidavit to be produced before the Visa Officer,
American Embassy, for the purpose of procuring Visa for U.S.A.

Sd./.
Deponent

Verification

Verified at ……………………………….on this the …….day of ,20 , that the contents of the above affidavit are true and correct to the best of my knowledge, belief and information and nothing material has been concealed therefrom.

Sd./.
Deponent

Solemnly affirmed and signed before me by the deponent, who is personally known to me, on this the day of ,20

Sd./.
Notary