Uscis Form I-829 - Petition By Entrepreneur To Remove Conditions On Permanent Resident Status Page 9

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Part 11. Contact Information, Declaration, and
Part 10. Interpreter's Contact Information,
Signature of the Person Preparing this Petition,
Certification, and Signature (continued)
if Other Than the Petitioner
Interpreter's Mailing Address
Provide the following information about the preparer.
3.a.
Street Number
Preparer's Full Name
and Name
3.b.
Apt.
Ste.
Flr.
1.a. Preparer's Family Name (Last Name)
3.c. City or Town
1.b.
Preparer's Given Name (First Name)
3.d. State
3.e. ZIP Code
3.f.
Province
2.
Preparer's Business or Organization Name (if any)
3.g. Postal Code
3.h.
Country
Preparer's Mailing Address
3.a.
Street Number
and Name
Interpreter's Contact Information
3.b.
Apt.
Ste.
Flr.
4.
Interpreter's Daytime Telephone Number
3.c. City or Town
3.d. State
3.e. ZIP Code
5.
Interpreter's Mobile Telephone Number (if any)
3.f.
Province
6.
Interpreter's Email Address (if any)
3.g. Postal Code
3.h.
Country
Interpreter's Certification
I certify, under penalty of perjury, that:
Preparer's Contact Information
I am fluent in English and
,
4.
Preparer's Daytime Telephone Number
which is the same language specified in Part 9., Item Number
1.b., and I have read to this petitioner in the identified language
every question and instruction on this petition and his or her
5.
Preparer's Mobile Telephone Number (if any)
answer to every question. The petitioner informed me that he or
she understands every instruction, question, and answer on the
petition, including the Petitioner's Declaration and
6.
Preparer's Email Address (if any)
Certification, and has verified the accuracy of every answer.
Interpreter's Signature
Preparer's Statement
7.a.
Interpreter's Signature
I am not an attorney or accredited representative but
7.a.
have prepared this form on behalf of the authorized
individual and with the authorized individual's
7.b.
Date of Signature (mm/dd/yyyy)
consent.
I am an attorney or accredited representative and
7.b.
have prepared this form on behalf of the authorized
individual and with the authorized individual's
consent.
Form I-829 04/21/17 N
Page 9 of 11

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