Instructions For Contract Between Sponsor And Household Member (Form I-864a)

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Instructions for Contract Between Sponsor and
USCIS
Household Member
Form I-864A
OMB No. 1615-0075
Department of Homeland Security
Expires 07/31/2017
U.S. Citizenship and Immigration Services
What Is the Purpose of Form I-864A?
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support
Under Section 213A of the INA. A separate Form I-864A must be used for each household member whose income
and/or assets are being used by a sponsor to qualify. Each Form I-864A is completed and signed by two individuals: a
sponsor who is completing Form I-864 and a household member who is promising to make his or her income
and/or assets available to the sponsor to help support the sponsored immigrants. The combined signing of this contract
constitutes an agreement that the household member is responsible along with the sponsor for the support of the
individuals named in this contract.
This contract must be submitted with Form I-864.
Form I-864A may only be used when a sponsor’s income and assets do not meet the income requirements of Form I-864
and the qualifying household member chooses to combine his or her resources with the income and/or assets of a sponsor
to meet the requirements. The obligations of the household member under this contract terminate when the obligations of
the sponsor under the Affidavit of Support terminate.
For additional information, see section 213A of the Immigration and Nationality Act (INA), and part 213a of Title 8 of the
Code of Federal Regulations.
What Is a Sponsor?
A sponsor is:
1. The petitioning relative;
2. A relative with a significant ownership interest in the petitioning entity; or
3. A substitute in the case of a deceased petitioner, or another person accepting joint and several liability with the
sponsor;
AND
4. Someone who completes and files Form I-864 on behalf of an intending immigrant. A sponsor must be an individual
and may not be an enterprise, a business, or any other type of organization.
Who May Be Considered a Household Member for Purposes of Form I-864A?
For purposes of this contract, a household member is:
1. A U.S. citizen, lawful permanent resident, or U.S. national relative who has the same principal residence as the
sponsor and is related to the sponsor as a spouse, adult child, parent, or sibling;
2. A U.S. citizen, lawful permanent resident, or U.S. national relative or other person whom the sponsor has lawfully
claimed as a dependent on the sponsor’s most recent Federal income tax return even if that person does not live at the
same residence as the sponsor; or
3. The intending immigrant, in certain circumstances. (See the How Can the Intending Immigrant Be Considered a
Household Member section of these Instructions.)
How Can the Intending Immigrant Be Considered a Household Member?
Listed below are two ways that the intending immigrant may be considered to be a household member for the purposes of
pooling income with the sponsor to meet the Affidavit of Support requirements:
1. The intending immigrant has the same principal residence as the sponsor and the intending immigrant can establish
that his or her income will continue from the same source, even after acquisition of lawful permanent residence; or
2. The intending immigrant is the sponsor’s spouse and the intending immigrant can show that his or her income will
continue from the same source after acquisition of lawful permanent residence.
Form I-864A Instructions 07/02/15 N
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