Form I-864 - Affidavit Of Support Under Section 213a Of The Act Page 2
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16adoption who are living in your residence, if they have lived in
immigrant and any accompanying family members. A
your residence for the previous 6 months, or who are listed as
joint sponsor must individually meet the minimum
dependents on your most recent Federal income tax return
requirement of 125 percent of the poverty line based on
whether or not they live in your residence. For their income to
his or her household size and income and/or assets,
be considered, these household members or dependents must be
including any assets of the sponsored immigrant.
willing to make their income available for the support of the
sponsored immigrant(s) if necessary, and to complete and sign
The Government may pursue verification of any information
Form I-864A, Contract Between Sponsor and Household
provided on or in support of this form, including employment,
Member. However, a household member who is the immigrant
income, or assets with the employer, financial or other
you are sponsoring only need complete Form I-864A if his or her
institutions, the Internal Revenue Service, or the Social Security
income will be used to determine your ability to support a
Administration.
spouse and/or children immigrating with him or her.
Evidence of Income
If in any of the most recent 3 tax years, you and your spouse
In order to complete this form you must submit the following
each reported income on a joint income tax return, but you want
evidence of income:
.
to use only your own income to qualify (and your spouse is not
submitting a Form I-864A), you may provide a separate breakout
A copy of your complete Federal income tax return, as
of your individual income for these years. Your individual
filed with the Internal Revenue Service, for each of the
most recent 3 tax years. If you were not required to file a
income will be based on the earnings from your W-2 forms,
Wage and Tax Statement, submitted to IRS for any such years.
tax return in any of the most recent 3 tax years, you must
If necessary to meet the income requirement, you may also
provide an explanation. If you filed a joint income tax
submit evidence of other income listed on your tax returns
return and are using only your own income to qualify,
you must also submit copies of your W-2s for each of
which can be attributed to you. You must provide
the most recent 3 tax years, and if necessary to meet the
documentation of such reported income, including Forms 1099
sent by the payer, which show your name and Social Security
income requirement, evidence of other income reported
number.
on your tax returns, such as Forms 1099.
.
You must calculate your household size and total household
If you rely on income of any members of your
income as indicated in Parts 4.B. and 4.C. of this form. You must
household or dependents in order to reach the minimum
compare your total household income with the minimum income
income requirement, copies of their Federal income tax
requirement for your household size using the poverty
returns for the most recent 3 tax years. These persons
guidelines. For the purposes of the affidavit of support,
must each complete and sign a Form I-864A, Contract
determination of your ability to meet the income requirements
Between Sponsor and Household Member.
will be based on the most recent poverty guidelines published
in the Federal Register at the time the Consular or Immigration
.
Officer makes a decision on the intending immigrant's
Evidence of current employment or self-employment,
application for an immigrant visa or adjustment of status.
such as a recent pay statement, or a statement from your
Immigration and Consular Officers will begin to use updated
employer on business stationery, showing beginning
poverty guidelines on the first day of the second month after
date of employment, type of work performed, and salary
the date the guidelines are published in the Federal Register.
or wages paid. You must also provide evidence of
current employment for any person whose income is
If your total household income is equal to or higher than the
used to qualify.
minimum income requirement for your household size, you do
not need to provide information on your assets, and you may
Evidence of Assets
not have a joint sponsor unless you are requested to do so by a
If you want to use your assets, the assets of your household
Consular or Immigration Officer. If your total household income
members or dependents, and/or the assets of the immigrant you
does not meet the minimum income requirement, the intending
are sponsoring to meet the minimum income requirement, you
immigrant will be ineligible for an immigrant visa or adjustment of
must provide evidence of assets with a cash value that equals at
status, unless:
least five times the difference between your total household
.
income and the minimum income requirement. For the assets of
You provide evidence of assets that meet the
a household member, other than the immigrant(s) you are
requirements outlined under ''Evidence of Assets''
sponsoring, to be considered, the household member must
below; and/or
.
complete and sign Form I-864A, Contract Between Sponsor and
The immigrant you are sponsoring provides evidence
Household Member.
of assets that meet the requirements under ''Evidence of
Assets'' below; or
.
All assets must be supported with evidence to verify location,
ownership, and value of each asset. Any liens and liabilities
A joint sponsor assumes the liability of the intending
relating to the assets must be documented. List only assets that
immigrant with you. A joint sponsor must execute a
separate affidavit of support on behalf of the intending
can be readily converted into cash within one year. Evidence of
assets includes, but is not limited to the following:
Form I-864 Instructions (Rev. 11/05/01)Y Page 2
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