Instructions For Affidavit Of Support Under Section 213a Of The Ina (Form I-864ez) (Page 5 of 11) in pdf

Part 3. Information About You (Sponsor)

Item Numbers1.a. - 1.c. Name of Sponsor. Provide your full name.

Item Numbers 2.a. - 3. Mailing Address. Provide your mailing address.

Item Numbers 4.a. - 4.h. Physical Address. Provide your physical address (place of residence) if it is different from

your mailing address.

Item Number 5. Country of Domicile. Provide the name of the country where you maintain your principal residence

and where you plan to reside for the foreseeable future. If your mailing address and/or place of residence is not in

the United States, but your country of domicile is the United States, you must attach a typed or printed explanation

and documentary evidence indicating how you meet the domicile requirement. If you are not currently living in the

United States, you may meet the domicile requirement if you can submit evidence to establish that any of the following

conditions apply.

1. You are employed by a certain organization. Some individuals employed overseas are automatically considered

to be domiciled in the United States because of the nature of their employment. The qualifying types of employment

include employment by:

A. The U.S. Government;

B. An American institution of research recognized by the Secretary of Homeland Security (The list of qualifying

institutions may be found at 8 CFR 316.20);

C. A U.S. firm or corporation engaged in whole or in part in the development of foreign trade and commerce with the

United States, or a subsidiary of such a firm or corporation;

D. A public international organization in which the United States participates by treaty or statute;

E. A religious denomination having a bona fide organization in the United States, if the employment abroad involves

the person’s performance of priestly or ministerial functions on behalf of the denomination; or

F. A religious denomination or interdenominational missionary organization having a bona fide organization in the

United States, if the person is engaged solely as a missionary.

2. You are living abroad temporarily. If you are not currently living in the United States, you must show that your trip

abroad is temporary and that you have maintained your domicile in the United States. You can show this by providing

proof of your voting record in the United States, proof of paying U.S. state or local taxes, proof of having property

in the United States, proof of maintaining bank or investment accounts in the United States, or proof of having a

permanent mailing address in the United States. Other proof could be evidence that you are a student studying abroad

or that a foreign government has authorized a temporary stay.

3. You intend in good faith to reestablish your domicile in the United States no later than the date of the intending

immigrant’s admission or adjustment of status. You must submit proof that you have taken concrete steps to

establish you will be domiciled in the United States at a time no later than the date of the intending immigrant’s

admission or adjustment of status. Concrete steps might include accepting a job in the United States, signing a lease

or purchasing a residence in the United States, or registering children in U.S. schools. Please attach proof of the steps

you have taken to establish domicile as previously described.

Item Number 6. Date of Birth. Provide your date of birth in the mm/dd/yyyy format.

Item Numbers 7. - 9. Place of Birth. Provide your city or town, state or province, and country of birth.

Item Number 10. U.S. Social Security Number (Required). You must provide your U.S. Social Security Number.

Item Number 11. USCIS ELIS Account Number (if any). If you have previously filed an application, petition, or

request using the USCIS Electronic Immigration System (USCIS ELIS), provide the USCIS ELIS Account Number you

were issued by the system. The USCIS ELIS Account Number is not the same as an A-Number. If you were issued a

USCIS ELIS Account Number, enter it in the space provided.

Item Number 12.a. - 12.d. Citizenship or Nationality. Provide your citizenship or nationality.

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

Page 5 of 11

Instructions For Affidavit Of Support Under Section 213a Of The Ina (Form I-864ez) Page 5

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