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AFFIDAVIT
I, LOUISA LOPEZ, age 60, am of sound mind and do hereby make this Affidavit of my own free will. I hereby declare as follows:
1. I would like to enter the United States to visit Niagara Falls. 2. I will be staying at the Crowne Plaza Hotel located at 300 Third
Street Niagara Falls New York USA 14303.
3. I intend to visit for two weeks from April 4, 2010 to April 18, 2010.
4. During my stay in the United States, I will bear all financial responsibilities for my trip to the falls including roundtrip airfare, food, and hotel stay.
5. I plan on returning to India as my family is still here.
6. I have to return to take care of my elderly mother who is 90 years
old.
7. My mother is staying with me in India and I need to take care of her as she is fully dependent on me. My spouse and my children will take care of her in my absence.
8. I would like to visit as I simply need a vacation as I am constantly
caring for my mother on a daily basis. Sworn to and subscribed before me ___________________ this ____ day of _______________ 20 . ____________________________ NOTARY PUBLIC
___________________________ LOUISA LOPEZ