Instructions For Affidavit Of Support Under Section 213a Of The Ina (Form I-864ez) (Page 4 of 11) in pdf

3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been

married and the question asks “Provide the name of your current spouse”), type or print “N/A,” unless otherwise

directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many

children do you have” or “How many times have you departed the United States”), type or print “None,” unless

otherwise directed.

Specific Instructions

Form I-864EZ is divided into nine parts. The information below will help you fill out the affidavit.

Part 1. Qualifying to Use Form I-864EZ

You may use Form I-864EZ if the statements in Item Numbers 1.a. - 1.c. are all true. If you do not select “Yes” for all

three boxes, you do NOT qualify to use Form I-864 EZ and therefore must use Form I-864. Submission of the incorrect

affidavit will delay processing.

Item Number l.a. Select “Yes” if you are the petitioner who is filing or who has already filed Form I-130, Petition for

Alien Relative; Form I-129F, Petition for Alien Fiancé(e); Form I-600, Petition to Classify Orphan as an Immediate

Relative; or Form I-600A, Application for Advance Processing of Orphan Petition.

Item Number l.b. Select “Yes” if you are using only your own earned or retirement income that you can document with

an IRS Form W-2. If you are self-employed, you must select “No” to the question and you cannot use Form I-864EZ.

Item Number l.c. The term “immigrating with” in this statement means “on the same visa petition.” Thus, if the person

you are sponsoring is an immediate relative (spouse, child, or certain parents of U.S. citizens), you can automatically

select “Yes” for this box because every immediate relative has his or her own visa petition. If the person you are

sponsoring is a family-based preference immigrant, and the family members listed on the same visa petition are

immigrating with or within six months of the sponsored immigrant, you must select “No” for this box, and you cannot use

Form I-864EZ.

Part 2. Information About the Immigrant You Are Sponsoring (Intending Immigrant)

Item Numbers 1.a. - 1.c. Name of Immigrant. Provide the full name of the immigrant you are sponsoring.

Item Numbers 2.a. - 2.i. Mailing Address. Provide the mailing address of the immigrant you are sponsoring.

Item Number 3. Daytime Telephone Number. Provide the daytime telephone number of the immigrant you are

sponsoring.

Item Number 4. Date of Birth. Provide the date of birth of the immigrant you are sponsoring in mm/dd/yyyy format.

Item Number 5. Alien Registration Number (A-Number) (if any). Provide the A-Number (if any) of the immigrant

you are sponsoring. An “A-Number” is an Alien Registration Number assigned by the former Immigration and

Naturalization Service (INS) or USCIS. If the intending immigrants you are sponsoring have not previously been in the

United States or have only been in the United States as tourists, they probably do not have A-Numbers. Persons with

A-Numbers can locate the number on their INS or USCIS-issued documentation.

Item Number 6. USCIS ELIS Account Number (if any). If the immigrant you are sponsoring has previously filed

an application, petition, or request using the USCIS Electronic Immigration System (USCIS ELIS), provide the USCIS

ELIS Account Number he or she was issued by the system. The USCIS ELIS Account Number is not the same as an

A-Number. If he or she was issued a USCIS ELIS Account Number, enter it in the space provided.

Item Number 7. U.S. Social Security Number (if any). Provide the U.S. Social Security Number (if any) of the

immigrant you are sponsoring.

Form I-864EZ Instructions 07/02/15 N

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