Single Status Affidavit
This Single Status Affidavit is made pursuant to the laws of [State Name]. It certifies that the individual named below is currently single and has no marital obligations.
I, [Full Name], residing at [Address], in the City of [City], State of [State Name], hereby declare the following:
- I am not currently married.
- I have never been married.
- If previously married, I am legally divorced as of [Divorce Date].
- I do not have any dependent spouse or partner.
This affidavit is executed to affirm my single status for the purpose of [Purpose, e.g., applying for a marriage license, completing documentation].
This declaration is made in the presence of a notary public and is executed on this [Day] of [Month], [Year].
Signature: ___________________________
Print Name: [Full Name]
Date: ___________________________
Notary Public:
State of [State Name]
County of [County Name]
On this [Day] of [Month], [Year], before me personally appeared [Full Name], known to me (or satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Signature: ___________________________
[Notary Stamp or Seal]