Form I-134 - Affidavit Of Support Page 6
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8NOTE TO ALL SPONSORS: If you do not completely fill
Interpreter's Certification
out this affidavit or fail to submit required documents listed in
I certify, under penalty of perjury, that:
the Instructions, USCIS or the Department of State may deny
your affidavit.
I am fluent in English and
,
which is the same language provided in Part 4., Item
Part 5. Interpreter's Contact Information,
Number 1.b., and I have read to this sponsor in the identified
language every question and instruction on this affidavit and his
Certification, and Signature
or her answer to every question. The sponsor informed me that
Provide the following information about the interpreter.
he or she understands every instruction, question, and answer on
the affidavit, including the Sponsor's Certification, and has
verified the accuracy of every answer.
Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)
Interpreter's Signature
7.a.
Interpreter's Signature
1.b. Interpreter's Given Name (First Name)
7.b.
Date of Signature (mm/dd/yyyy)
2.
Interpreter's Business or Organization Name (if any)
Part 6. Contact Information, Statement,
Declaration, and Signature of the Person
Interpreter's Mailing Address
Preparing this Affidavit, if Other Than the
3.a.
Street Number
Sponsor
and Name
Provide the following information about the preparer.
3.b.
Apt.
Ste.
Flr.
Preparer's Full Name
3.c. City or Town
1.a. Preparer's Family Name (Last Name)
3.d. State
3.e. ZIP Code
3.f.
Province
1.b. Preparer's Given Name (First Name)
3.g.
Postal Code
3.h. Country
2.
Preparer's Business or Organization Name (if any)
Interpreter's Contact Information
Preparer's Mailing Address
4.
Interpreter's Daytime Telephone Number
3.a.
Street Number
and Name
3.b.
Apt.
Ste.
Flr.
5.
Interpreter's Mobile Telephone Number (if any)
3.c. City or Town
6.
Interpreter's Email Address (if any)
3.d. State
3.e. ZIP Code
3.f.
Province
3.g.
Postal Code
3.h. Country
Form I-134 11/30/16 N
Page 6 of 8
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