Form I-864 - Affidavit Of Support Under Section 213a Of The Act Page 10
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16Part 7.
Use of the Affidavit of Support to Overcome Public Charge Grounds (Continued)
I acknowledge that section 213A(a)(1)(B) of the Act grants the sponsored immigrant(s) and any Federal, State,
local, or private agency that pays any means-tested public benefit to or on behalf of the sponsored immigrant(s)
standing to sue me for failing to meet my obligations under this affidavit of support. I agree to submit to the personal
jurisdiction of any court of the United States or of any State, territory, or possession of the United States if the court
has subject matter jurisdiction of a civil lawsuit to enforce this affidavit of support. I agree that no lawsuit to enforce
this affidavit of support shall be barred by any statute of limitations that might otherwise apply, so long as the
plaintiff initiates the civil lawsuit no later than ten (10) years after the date on which a sponsored immigrant last
received any means-tested public benefits.
Collection of Judgment.
I acknowledge that a plaintiff may seek specific performance of my support obligation. Furthermore, any money
judgment against me based on this affidavit of support may be collected through the use of a judgment lien under 28
U.S.C 3201, a writ of execution under 28 U.S.C 3203, a judicial installment payment order under 28 U.S.C 3204,
garnishment under 28 U.S.C 3205, or through the use of any corresponding remedy under State law. I may also be
held liable for costs of collection, including attorney fees.
Concluding Provisions.
I,
, certify under penalty of perjury under the laws of the United
States that:
(a) I know the contents of this affidavit of support signed by me;
(b) All the statements in this affidavit of support are true and correct,
(c) I make this affidavit of support for the consideration stated in Part 7, freely, and
without any mental reservation or purpose of evasion;
(d) Income tax returns submitted in support of this affidavit are true copies of the returns
filed with the Internal Revenue Service; and
(e) Any other evidence submitted is true and correct.
(Sponsor's Signature)
(Date)
Subscribed and sworn to (or affirmed) before me this
day of
,
(Year)
(Month)
.
at
.
My commission expires on
(Signature of Notary Public or Officer Administering Oath)
(Title)
Part 8.
If someone other than the sponsor prepared this affidavit of support, that person must
complete the following:
I certify under penalty of perjury under the laws of the United States that I prepared this affidavit of support at the sponsor's
request, and that this affidavit of support is based on all information of which I have knowledge.
Signature
Print Your Name
Date
Daytime Telephone Number
Firm Name and Address
Form I-864 (11/05/01)Y Page 6
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