OMB No. 1615-0026; Exp. 09/30/2016
Form I-526, Immigrant Petition
Department of Homeland Security
by Alien Entrepreneur
U.S. Citizenship and Immigration Services
Do Not Write in This Block - For USCIS Use Only (Except G-28 Block Below)
Action Block
Fee Receipt
Classification
Priority Date
To be completed by Attorney or Representative, if any
G-28 is attached
Attorney's State License No.
Remarks:
START HERE - Type or print in black ink.
Part 1.
Information About You
Family Name
Given Name
Middle Name
Address - In Care of Name, if applicable
Street Number and Name
Apt. Number
State or Province
Country
City
Zip/Postal Code
Date of Birth (mm/dd/yyyy)
Country of Birth
Social Security Number (if any)
A-Number (if any)
If you are in the United States, provide the following information:
Passport Number
Date of Arrival (mm/dd/yyyy)
I-94 Number
Expiration Date for Passport or Travel Document
Travel Document Number
Country of Issuance for Passport or Travel Document
Current Nonimmigrant Status
Date Current Status Expires (mm/dd/yyyy)
Daytime Telephone Number (with Area Code)
Part 2. Application Type
(Check one)
This petition is based on an investment in a commercial enterprise in a targeted employment area for which the required
a.
amount of capital invested has been adjusted downward.
This petition is based on an investment in a commercial enterprise in an area for which the required amount of capital invested
b.
has been adjusted upward.
This petition is based on an investment in a commercial enterprise that is not in either a targeted area or in an upward
c.
adjustment area.
Part 3. Information About Your Investment
Name of commercial enterprise in which funds are invested
(Required Field - Do Not Leave Blank)
Street Address
Business organized as (corporation, partnership, etc.)
Phone Number with Area Code
RECEIVED: ________________ RESUBMITTED: ____________ RELOCATED: SENT ________________ REC'D ____________
Form I-526 (09/24/13) N