This affidavit is submitted by an individual seeking guardianship over an incompetent person to receive disability/sickness benefits from the Social Security System on their behalf. It states that the affiant is the legitimate spouse of the incompetent individual currently under their care and custody. It also asserts that the affiant is competent to receive the funds, is not an imbecile, insane, vagrant, drunkard or criminal, and has not abandoned or neglected the incompetent individual. Two witnesses corroborate the statements made in the affidavit.