Disinterested Third Party Questionnaire

DISINTERESTED THIRD PARTY ATTESTING TO THE BONA
FIDE MARRIAGE OF PETITIONER AND BENEFICIARY

Please answer all questions completely and truthfully. If a required field is not applicable, please write N/A or NA. The information collected will be used to prepare the Sworn Declaration of a witness who will attest to the continuing bona fide marriage between the Petitioner and Beneficiary.

INFORMATION ABOUT AFFIANT

1. Complete Name (LAST, First, Middle): *

2. Present Address: *

Line 1

Line 2

City

State

Zip Code

Country

3. Daytime Phone Number: *

4. Mobile Phone Number: *

5. Email: *

6. Date of Birth (mm/dd/yyyy): *

7. City of Birth: *

8. Country of Birth: *

9. Affiant is a: *

U.S. Citizen Lawful Permanent Resident ("Green Card Holder")

10. How many years has affiant known the Petitioner? *

11. How many years has affiant known the Beneficiary? *

12. Does affiant see the couple on a regular basis (holidays, family affairs, social gatherings)? *

Yes No

13. Did the affiant attend the wedding of the Petitioner and Beneficiary? *

Yes No

Submit

ken garcia attorney at law

DISINTERESTED THIRD PARTY ATTESTING TO THE BONA FIDE MARRIAGE OF PETITIONER AND BENEFICIARY

DISINTERESTED THIRD PARTY ATTESTING TO THE BONA
FIDE MARRIAGE OF PETITIONER AND BENEFICIARY