Part 7. Interpreter's Contact Information,
Interpreter's Certification
Certification, and Signature
I certify, under penalty of perjury, that:
Provide the following information about the interpreter if you
I am fluent in English and
,
used one.
which is the same language provided in Part 6., Item Number
1.b., and I have read to this petitioner in the identified language
Interpreter's Full Name
every question and instruction on this petition and his or her
1.a.
Interpreter's Family Name (Last Name)
answer to every question. The petitioner informed me that he or
she understands every instruction, question, and answer on the
petition, including the Petitioner's Declaration and
1.b.
Interpreter's Given Name (First Name)
Certification, and has verified the accuracy of every answer.
Interpreter's Signature
2.
Interpreter's Business or Organization Name (if any)
7.a.
Interpreter's Signature (sign in ink)
Interpreter's Mailing Address
7.b.
Date of Signature (mm/dd/yyyy)
3.a.
Street Number
and Name
Part 8. Contact Information, Declaration, and
3.b.
Apt.
Ste.
Flr.
Signature of the Person Preparing this Petition, if
Other Than the Petitioner
3.c. City or Town
Provide the following information about the preparer.
3.d. State
3.e. ZIP Code
Preparer's Full Name
3.f.
Province
1.a. Preparer's Family Name (Last Name)
3.g.
Postal Code
3.h. Country
1.b.
Preparer's Given Name (First Name)
2.
Preparer's Business or Organization Name (if any)
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
Preparer's Mailing Address
5.
Interpreter's Mobile Telephone Number (if any)
3.a.
Street Number
and Name
3.b.
Apt.
Ste.
Flr.
6.
Interpreter's Email Address (if any)
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f.
Province
3.g.
Postal Code
3.h. Country
Form I-130 02/27/17 N
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