Form I-130a - Supplemental Information For Spouse Beneficiary Page 5
Download a blank fillable Form I-130a - Supplemental Information For Spouse Beneficiary 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-130a - Supplemental Information For Spouse Beneficiary 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
6Part 6. Contact Information, Declaration, and
Signature of the Person Preparing this Form, if
Other Than the Spouse Beneficiary (continued)
Preparer's Contact Information
4.
Preparer's Daytime Telephone Number
5.
Preparer's Mobile Telephone Number (if any)
6.
Preparer's Email Address (if any)
Preparer's Statement
7.a.
I am not an attorney or accredited representative but
have prepared this form on behalf of the spouse
beneficiary and with the spouse beneficiary's consent.
7.b.
I am an attorney or accredited representative and my
representation of the spouse beneficiary in this case
extends
does not extend beyond the preparation
of this form.
NOTE: If you are an attorney or accredited
representative whose representation extends beyond
preparation of this form, you may be obliged to submit
a completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited Representative,
with this form.
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I
prepared this form at the request of the spouse beneficiary. The
spouse beneficiary then reviewed this completed form and
informed me that he or she understands all of the information
contained in, and submitted with, his or her form, including the
Spouse Beneficiary's Certification, and that all of this
information is complete, true, and correct. I completed this
form based only on information that the spouse beneficiary
provided to me or authorized me to obtain or use.
Preparer's Signature
8.a. Preparer's Signature (sign in ink)
8.b. Date of Signature (mm/dd/yyyy)
Form I-130A 02/27/17 N
Page 5 of 6
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Form I-130, Petition For Alien Relative, And Form I-130a, Supplemental Information For Spouse Beneficiary
Legal
Va Form 22-8873 - Supplemental Information For Change Of Program Or Reenrollment After Unsatisfactory Attendance, Conduct Or Progress
Legal
Related Categories
Parent category: Legal