Affidavit of Support: Form I-864EZ Instructions & Obligations under INA Section 213A, Lecture notes of Business

Download Affidavit of Support: Form I-864EZ Instructions & Obligations under INA Section 213A and more Lecture notes Business in PDF only on Docsity! Affidavit of Support Under Section 213A of the INA USCIS Form I-864EZ Department of Homeland Security OMB No. 1615-0075 U.S. Citizenship and Immigration Services Expires 10/31/2021 For Government Use Only This Form I-864EZ: O DOESNOT MEET O MEETS the Reviewed By: the requirements of requirements of | INA section 213A INA section 213A Location: Date (mm/dd/yyyy): Select this box if Attorney State Bar Number Attorney or Accredited Representative Form G-28 or (if applicable) USCIS Online Account Number (if any) G-28I is attached. To be completed by an attorney or accredited representative (if any). b> START HERE - Type or print in black ink. Part 1. Qualifying to Use Form I-864EZ Mailing Address 1a. I am the petitioner of the family member sponsored on 2.a. In Care Of Name this affidavit. (Yes [[] No (Use Form 1-864) 1.b. Tam using my own eamed or retirement income, which is 2.b. Street Number documented using Internal Revenue Service (IRS) Form and Name 2 Ww. (Yes [J No (Use Form I-864) 2c () Ap. CJ ste. (1) Fr. 1c. The sponsored immigrant is the only person immigrating 2.d. City or Town based on the underlying visa petition. (Yes [J No (Use Form 1-864) 2.e. State 2.f. ZIP Code 2.g. Province Part 2. Information About the Immigrant You Are Sponsoring (Intending Immigrant) 2h. Postal Code 2.1. Country Name of Immigrant lia. Family Name (Last Name) 1.b. Given Name Other Information (First Name) 3. Daytime Telephone Number 1c. Middle Name 4. Date of Birth (mm/dd/yyyy) 5. Alien Registration Number (A-Number) (if any) > A- 6. USCIS Online Account Number (if any) > 7. U.S. Social Security Number (if any) > Form I-864EZ 10/15/19 Page 1 of 7 Part 3. Information About You (Sponsor) lia. Family Name (Last Name) 7. City or Town of Birth 8. State or Province of Birth (if applicable) 1.b. Given Name (First Name) 1c. Middle Name Mailing Address 2.a. In Care Of Name 2.b. Street Number and Name 2e [] Ap. [) Ste. 1) Fir. 2.d. City or Town 2e. State 2. ZIP Code 2.g. Province 2.h. Postal Code 2.i. Country 3. _ Is your current mailing address the same as your physical address? Clyes [No If you answered "No" to Item Number 3., provide your physical address below. Physical Address 4.a. Street Number and Name 4b. (] Ap. [ Ste. (] Fir. 4.c. City or Town 4d. State 4. ZIP Code 4.f. Province 4.g. Postal Code 4.h. Country Other Information 5. Country of Domicile 6. Date of Birth (mm/dd/yyyy) 9. Country of Birth 10. U.S. Social Security Number (Required) > 11. USCIS Online Account Number (if any) > Citizenship or Nationality 12, [] lamaUsS. citizen. 13.a. (] Tam a lawful permanent resident. 13.b. My alien registration number is: > A- 14. [J lamaU-S. national. Military Service 15, I amcurrently on active duty in the United States Armed Forces or U.S. Coast Guard. CyYes [No Part 4. Information About Your Household Size NOTE: Do not count any household member more than once. l.a. Yourself and the person you are sponsoring on this Form 1-864EZ. 1.b. Your spouse. 1c. Your dependent children under 21 years of age. 1.d. If you have sponsored any other persons on a Form 1-864 who are now lawful permanent residents in the United States, enter the number here. 1.e. If you have any other dependents listed on your most recent Federal income tax return, enter the number here. 1.f. Add together Item Numbers 1.a. - Le. and enter the number here. This is your HOUSEHOLD SIZE for the purpose of this Form I-864EZ. Form I-864EZ 10/15/19 Page 2 of 7 Part 6. Sponsor's Contract, Statement, Contact Information, Declaration, Certification, and Signature (continued) I furthermore authorize release of information contained in this affidavit, in supporting documents, and in my USCIS or DOS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I certify, under penalty of perjury, that all of the information in my affidavit and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my affidavit, and that all of this information is complete, true, and correct. A. [know the contents of this affidavit of support that I signed; B. Ihave read and I understand each of the obligations described in Part 6., and I agree, freely and without any mental reservation or purpose of evasion, to accept each of those obligations in order to make it possible for the immigrant indicated in Part 2. to become a lawful permanent resident of the United States; C. — Tagree to submit to the personal jurisdiction of any Federal or state court that has subject matter jurisdiction of a lawsuit against me to enforce my obligations under this Form I-864EZ; D. Each of the Federal income tax returns submitted in support of this affidavit are true copies, or are unaltered tax transcripts, of the tax returns I filed with the IRS; E. —Tunderstand that, if I am related to the sponsored immigrant by marriage, the termination of the marriage (by divorce, dissolution, annulment, or other legal process) will not relieve me of my obligations under this Form I-864EZ; and F. LT authorize the Social Security Administration to release information about me in its records to the USCIS and DOS. Sponsor's Signature 6.a. Sponsor's Signature =» 6.b. Date of Signature (mm/dd/yyyy) NOTE TO ALL SPONSORS: If you do not completely fill out this affidavit or fail to submit required documents listed in the Instructions, USCIS or DOS may deny your request. Part 7. Interpreter's Contact Information, Certification, and Signature Provide the following information about the interpreter. Interpreter's Full Name la. Interpreter's Family Name (Last Name) 1.b. Interpreter's Given Name (First Name) 2. Interpreter's Business or Organization Name (if any) Interpreter's Mailing Address 3.a. Street Number and Name 3b. [J Apt. [J Ste. ( Fir. 3.e. City or Town 3.d. State 3.e. ZIP Code 3.f. Province 3.g. Postal Code 3.h. Country Interpreter's Contact Information 4, Interpreter's Daytime Telephone Number 5. Interpreter's Mobile Telephone Number (if any) 6. —_ Interpreter's Email Address (if any) Interpreter's Certification I certify, under penalty of perjury, that: T am fluent in English and ; which is the same language specified in Part 6., Item Number 1.b., and I have read to this sponsor in the identified language every question and instruction on this affidavit and his or her answer to every question. The sponsor informed me that he or she understands every instruction, question, and answer on the affidavit, including the Sponsor's Declaration and Certification, and has verified the accuracy of every answer. Form I-864EZ 10/15/19 Page 5 of 7 Part 7. Interpreter's Contact Information, Certification, and Signature (continued) Interpreter's Signature 7.a. Interpreter's Signature 7.b. Date of Signature (mm/dd/yyyy) Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Affidavit, if Other Than the Sponsor Provide the following information about the preparer. Preparer's Full Name la. Preparer's Family Name (Last Name) 1.b. Preparer's Given Name (First Name) 2. Preparer's Business or Organization Name (if any) Preparer's Mailing Address 3.a. Street Number and Name Preparer's Statement 7.a. [_] Lam not an attorney or accredited representative but have prepared this affidavit on behalf of the sponsor and with the sponsor's consent. 7.b. [[] Tam an attorney or accredited representative and my representation of the sponsor in this case [extends [J does not extend beyond the preparation of this affidavit. NOTE: If you are an attorney or accredited representative, you may be obliged to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or G-281, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, with this affidavit. Preparer's Certification By my signature, I certify, under penalty of perjury, that I prepared this affidavit at the request of the sponsor. The sponsor then reviewed this completed affidavit and informed me that he or she understands all of the information contained in, and submitted with, his or her affidavit, including the Sponsor's Declaration and Certification, and that all of this information is complete, true, and correct. I completed this affidavit based only on information that the sponsor provided to me or authorized me to obtain or use. Preparer's Signature 8.a. Preparer's Signature 3.b. (-] Apt. [] Ste. [] Fir. 3.e. City or Town 3.4. State 3.e. ZIP Code 3.f. Province 3.g. Postal Code 3.h. Country Preparer's Contact Information 4, Preparer's Daytime Telephone Number 5. Preparer's Mobile Telephone Number (if any) 6. Preparer's Email Address (if any) 8.b. Date of Signature (mm/dd/yyyy) Form I-864EZ 10/15/19 Page 6 of 7 Part 9. Additional Information 5.a. PageNumber 5.b. PartNumber 5.c. Item Number If you need extra space to provide any additional information within this affidavit, use the space below. If you need more 5.d. space than what is provided, you may make copies of this page to complete and file with this affidavit or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. lia. Family Name (Last Name) 1.b. Given Name (First Name) 1c. Middle Name 2. A-Number (if any) > A- 3.a. Page Number 3.b. PartNumber 3.c. Item Number 6.a. PageNumber 6.b. PartNumber 6.c. Item Number 3.d. 6.d. 4.a, Page Number 4.b. PartNumber 4.c. Item Number 7.a. PageNumber 7.b. PartNumber 7.c. Item Number 4d. 7d. Form I-864EZ 10/15/19 Page 7 of 7