Here is a sample of the Single Status Affidavit:
SINGLE STATUS AFFIDAVIT/SWORN DECLARATION
I, [full name as in passport], of the City of , in the State [Province] of , DO SOLEMNLY AND SINCERELY DECLARE THAT:
-I am [full name as in passport], born as [name as it appears in Birth Certificate] on [date of birth] in [place of birth].
-I am a [citizenship] citizen with passport No: , who resides at [full address].
-I intend to marry [full name as in passport] in the [hotel name] in [city], Dominican Republic during the month of [month and year of marriage].
-I am single and have never been married before. To the best of my knowledge and belief there is no legal impediment or other lawful cause to prevent me from getting married.
-The names of my parents are , Mother and , Father.
I make this Solemn Declaration firmly believing it to be true and knowing that it is of the same force and effect as if made under oath.
DECLARED by me, this(date)____of ______, 2012
Signed [your name here]____________________________
(Full name as in passport)
DECLARED in my presence, this (date)____of ______, 2012
_______________________________
Signed as a Public Notary (Commissioner of Oaths)
IF DIVORCED, PLEASE INDICATE “single, divorced since (date your divorce was final). To the best of my…” INCLUDE NAME OF FORMER SPOUSE, DATE THE DIVORCE WAS FINAL, FILE/RECORD NUMBER, COURT, AND NAME OF THE JUDGE.
IF WIDOW-WIDOWER, PLEASE INDICATE “single, widow/widower since (date as appears on the death certificate). To the best of my knowledge and belief there is no legal impediment.
I did mine in English, faxed to a lawyer in Puerto Plata. He did all the necessary translations etc for all my documents then I came by, signed it and off I went. Much less expensive than having done in Canada.
Hope this helps