Instructions For Form I-134, Affidavit Of Support Page 2
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D. List containing serial numbers and denominations of bonds
and name of record owner(s).
Any document containing a foreign language submitted to
Sponsor and Alien Liability
USCIS shall be accompanied by a full English language
translation which the translator has certified as complete and
Under section 213 of the Act, if the person you are sponsoring
accurate, and by the translator's certification that he or she is
becomes a public charge, the agency that provides assistance
competent to translate from the foreign language into English.
may be able to sue you to recover the cost of the assistance.
Copies
In addition to that provision, your income and assets may be
combined with the income and assets of the person you are
Unless specifically required that an original document be filed
sponsoring in determining whether that person is eligible for
with an application or petition, an ordinary legible photocopy
Food Stamps, 7 U.S.C. 2014(i)(1), Supplemental Security
(standard 8 1/2 x 11 letter size) may be submitted. Original
Income (SSI), 42 U.S.C. 1382j, and Temporary Assistance for
documents submitted when not required will remain a part of
Needy Families (TANF), 42 U.S.C. 608.
the record.
Documentation of Income and Resources
An alien applying for SSI must make available to the Social
Where To File?
Security Administration documentation concerning his or her
income and resources and those of the sponsor, including
information that was provided in the corresponding
Where you submit the form depends on whether the alien you
application.
are sponsoring is in or outside the United States and what type
of application is being submitted. See the instructions
An alien applying for TANF or Food Stamps must make
provided with the corresponding application for detailed
similar information available to the State public assistance
information on where to submit this affidavit of support.
agency.
The U.S. Secretary of Health and Human Services and the
What Is the Filing Fee?
U.S. Secretary of Agriculture are authorized to obtain copies
of any such documentation submitted to U.S. Citizenship and
There is no filing fee for Form I-134.
Immigration Services, (USCIS) or the U.S. Department of
State and to release such documentation to a State public
assistance agency.
Address Changes
Joint and Several Liability Issues
Sections 1621(e) of the Social Security Act and
If you change your address and you have an application or
subsection 5(i) of the Food Stamp Act also provide that an
petition pending with USCIS, you may change your address
alien and his or her sponsor shall be "jointly and severally
online at , click on "Online Change of
liable" to repay any SSI, TANF, or Food Stamp benefits that
Address" with USCIS," and follow the prompts, or you may
are incorrectly paid because of misinformation provided by a
complete and mail Form AR-11, Alien's Change of Address
sponsor or because of a sponsor's failure to provide
Card, to:
information, except where the sponsor was without fault or
U.S. Citizenship and Immigration Services
where good cause existed. "Jointly and severally liable" means
Change of Address
the alien and sponsors are each liable up to the full amount of
P.O. Box 7134
any repayment due.
London, KY 40742-7134
Incorrect payments that are not repaid will be withheld from
For commercial overnight or fast freight services only, mail to:
any subsequent payments you or your sponsor are otherwise
eligible under the Social Security Act or Food Stamp Act.
U.S. Citizenship and Immigration Services
Change of Address
These provisions do not apply to SSI, TANF, or Food
1084-I South Laurel Road
Stamp eligibility of aliens admitted as refugees, granted
London, KY 40744
asylum or Cuban/Haitian entrants as defined in section
501(e) of P.L. 96-422, and to dependent children of the
sponsor or sponsor's spouse.
Form I-134 Instructions (05/21/10)Y Page 2
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