Fillable Form I-134 - Affidavit Of Support (Page 7 of 8) in pdf

Form I-134 - Affidavit Of Support Page 7

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Part 6. Contact Information, Statement,

Declaration, and Signature of the Person

Preparing this Affidavit, if Other Than the

Sponsor (continued)

Preparer's Contact Information

Preparer's Daytime Telephone Number

Preparer's Fax Number

Preparer's Email Address (if any)

Preparer's Statement

7.a.

I am not an attorney or accredited representative but

have prepared this affidavit on behalf of the sponsor

and with the sponsor's consent.

I am an attorney or accredited representative and my

7.b.

representation of the sponsor in this case

does not extend beyond the

extends

preparation of this affidavit.

NOTE: If you are an attorney or accredited

representative whose representation extends beyond

preparation of this affidavit, you may be obliged to

submit a completed Form G-28, Notice of Entry of

Appearance as Attorney or Accredited Representative,

with this application.

Preparer's Certification

By my signature, I certify, under penalty of perjury, that I

prepared this affidavit at the request of the sponsor. The sponsor

then reviewed this completed affidavit and informed me that he

or she understands all of the information contained in, and

submitted with, his or her affidavit, including the Sponsor's

Certification, and that all of this information is complete, true,

and correct. I completed this affidavit based only on information

that the sponsor provided to me or authorized me to obtain or use.

Preparer's Signature

8.a.

Preparer's Signature

8.b. Date of Signature (mm/dd/yyyy)

Form I-134 11/30/16 N

Page 7 of 8

Form I-134 - Affidavit Of Support Page 7

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