AFFIDAVIT OF BIRTH
U.S. Department of Homeland Security
U.S. Citizenship and Immigration Services
Re: I-485, Application to Register Permanent Residence or Adjust Status
Applicant: [APPLICANT’S FULL NAME]
To Whom It May Concern:
I, the undersigned, [FULL NAME], presently residing at [ADDRESS], do hereby solemnly affirm and declare on oath and under penalty of perjury that:
I am the affiant