International Student Financial Affidavit - Lake Land College

This section to be completed by sponsor’s employer: Date:__________
I certify that the information provided above is true and correct.
Name of Employer (print): ____________________________________________
Employer's signature: ________________________________________________
Position Title: ______________________________________________________
Employer’s contact information: _______________________________________
Annual Salary of Sponsor’s spouse in USD: ____________Years of Employment_________
Number of children receiving support: ______________________________________________
Other dependents: _______________________________________________
Sponsor’s Financial Information:
Bank Account(s):
Type of account: ______________________ Account number: __________________________
Date opened: _________________________
Deposits for the past year (USD): ___________ Current balance (USD) ______________
This section to be completed by bank official: Date:_____________
I certify that the information provided above is true and correct.
Bank official's signature: _____________________________________________
Name of bank official (print): _________________________________________
Bank official's position: ______________________________________________
Bank's address: ____________________________________________________
Stamp/seal:_________________________________________________________
Sponsor must also attach an original bank statement (not a bank letter) dated within the
past two months. Submission of income tax returns is also encouraged. If a sponsor has
more than one account, please provide the information required above for each account, if
necessary on a separate piece of paper.
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International Student Financial Affidavit - Lake Land College PDF

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