Instructions For Form I-134, Affidavit Of Support


OMB No. 1615-0014
; Expires 12/31/2013
Department of Homeland Security
Instructions for Form I-134, Affidavit of Support
U.S. Citizenship and Immigration Services
Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet of paper. Write your name and Alien Registration Number (A-Number), if any, at the top of each sheet of
paper and indicate the part and number of the item to which the answer refers.
What Is the Purpose of This Form?
General Instructions
Section 212(a)(4) of the Immigration and Nationality Act (the
Fill Out Form I-134
Act) bars the admission into the United States any alien who,
1. Type or print legibly in black ink.
in the opinion of the U.S. Department of State officer
adjudicating a visa application, a Department of Homeland
2. If extra space is needed to complete any item, attach a
Security officer, or an immigration judge adjudicating an
continuation sheet, indicate the item number, and date and
application for admission, is likely at any time to become a
sign each sheet.
public charge.
Supporting Evidence
For aliens seeking admission or adjustment as permanent
As the sponsor, you must show you have sufficient income
residents as immediate relatives, family-based immigrants,
or financial resources to assure that the alien you are
and certain employment based immigrants, as specified in
sponsoring will not become a public charge while in the
sections 212(a)(4)(C) and 213A of the Act and 8 CFR Part
United States.
213a, the petitioning relative must file Form I-864.
Evidence should consist of copies of any of the
Form I-134 may be used in any case in which you are
documents listed below that apply to your situation.
inadmissible on public charge grounds, but in which you are
not required to have Form I-864 filed on his or her behalf.
Failure to provide evidence of sufficient income or
Section 213 of the Act (not section 213A) permits the
financial resources may result in the denial of the alien's
admission of an alien who is inadmissible on public charge
application for a visa or his or her removal from the United
grounds, in the discretion of the Secretary of Homeland
Security (or, for immigration judge cases, the discretion of the
Attorney General) upon the posting of a bond or other
Submit in duplicate evidence of income and resources,
undertaking (method). Form I-134, is the “undertaking”
as appropriate:
prescribed in section 213 of the Act.
A. Statement from an officer of the bank or other financial
institutions with deposits, identifying the following details
Do not use Form I-134 if the alien whom you are sponsoring
regarding the account:
is required to have Form I-864 instead.
1. Date account opened;
2. Total amount deposited for the past year; and
Execution of Affidavit
3. Present balance.
B. Statement(s) from your employer on business stationery
If you are sponsoring more than one alien, you must submit a
separate Form I-134 for each alien. Form I-134 must be
signed in your full name. (Note: Signing Form I-134 is under
1. Date and nature of employment;
penalty of perjury under U.S. law). For this reason, it is not
2. Salary paid; and
necessary to sign Form I-134 before a notary, nor to have your
signature notarized after you sign it.
3. Whether the position is temporary or permanent.
C. If self-employed:
1. Copy of last income tax return filed; or
2. Report of commercial rating concern.
Form I-134 Instructions 12/17/12 Y Page 1


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