Form I-485 - Application To Register Permanent Residence Or Adjust Status Page 16
Download a blank fillable Form I-485 - Application To Register Permanent Residence Or Adjust Status in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form I-485 - Application To Register Permanent Residence Or Adjust Status with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18►
A-Number
A-
Part 11. Interpreter's Contact Information,
Part 12. Contact Information, Declaration, and
Certification, and Signature (continued)
Signature of the Person Preparing this
Application, if Other Than the Applicant
Interpreter's Mailing Address
Provide the following information about the preparer.
3.a.
Street Number
and Name
Preparer's Full Name
3.b.
Apt.
Ste.
Flr.
1.a. Preparer's Family Name (Last Name)
3.c. City or Town
3.d. State
3.e. ZIP Code
1.b.
Preparer's Given Name (First Name)
3.f.
Province
2.
Preparer's Business or Organization Name (if any)
3.g.
Postal Code
3.h. Country
Preparer's Mailing Address
3.a.
Street Number
Interpreter's Contact Information
and Name
3.b.
Apt.
Ste.
Flr.
4.
Interpreter's Daytime Telephone Number
3.c. City or Town
5.
Interpreter's Mobile Telephone Number (if any)
3.d. State
3.e. ZIP Code
3.f.
Province
6.
Interpreter's Email Address (if any)
3.g.
Postal Code
3.h. Country
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
,
Preparer's Contact Information
which is the same language specified in Part 10., Item Number
1.b., and I have read to this applicant in the identified language
4.
Preparer's Daytime Telephone Number
every question and instruction on this application and his or her
answer to every question. The applicant informed me that he or
she understands every instruction, question, and answer on the
5.
Preparer's Mobile Telephone Number (if any)
application, including the Applicant's Declaration and
Certification, and has verified the accuracy of every answer.
6.
Preparer's Email Address (if any)
Interpreter's Signature
Interpreter's Signature (sign in ink)
7.a.
7.b.
Date of Signature (mm/dd/yyyy)
Form I-485 06/26/17 N
Page 16 of 18
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form I-485 - Application To Register Permanent Residence Or Adjust Status - Department Of Homeland Security
Legal
Instructions For Form I-90 - Application To Replace Permanent Resident Card - Department Of Homeland Security
Legal
Related Categories
Parent category: Legal