美国居留声明书
Statement of U.S. Residence
Date/日期: [MM/DD/YYYY]
个人信息/Personal Information
- 姓名/Name: [Full Name]
- 出生日期/Date of Birth: [MM/DD/YYYY]
- 护照号码/Passport Number: [Passport Number]
- 美国地址/U.S. Address: [Full U.S. Address]
- 联系电话/Contact Number: [Phone Number]
- 电子邮箱/Email Address: [Email Address]
声明内容/Statement of Residence
本人，[全名/Full Name]，现声明如下：
I, [Full Name], hereby state the following:
- 在美居留状态/Status of U.S. Residence
我目前在美国居住，住址位于：[具体地址]，并计划继续在此居住。
I currently reside in the United States at the following address: [Full Address], and I plan to continue residing at this location. - 居留目的/Purpose of Residence
我的居留目的为：[说明原因，如学习、工作或家庭原因]。
The purpose of my residence in the U.S. is for: [explain purpose, e.g., study, work, or family reasons]. - 居留期限/Duration of Residence
我自[居住开始日期]起居住在美国，且计划继续居住至[计划日期]（如适用）。
I have resided in the U.S. since [start date of residence] and plan to continue residing until [intended end date, if applicable]. - 声明真实性/Statement of Truth
我特此声明，以上所述内容属实准确，任何虚假陈述将承担相关法律责任。
I hereby declare that the above statements are true and accurate, and I understand any false statements may be subject to legal consequences.
声明人签名/Signature of Declarant
声明人签名/Signature: ___________________________
日期/Date: ___________________________
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