Form I-140 - Immigrant Petition For Alien Worker Page 6
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6Part 9. Signature of Person Preparing This Petition, If Other Than the Petitioner
1.
Attorney or Representative: In the event of a Request for
Preparer's Mailing Address
Evidence (RFE), may USCIS contact you by e-mail?
6.a.
Street Number
Yes
No
and Name
6.b. Apt.
Preparer's Full Name
Ste.
Flr.
Provide the following information concerning the preparer:
6.c. City or Town
2.a. Preparer's Family Name (Last Name)
6.d. State
6.e. Zip Code
6.f.
Postal Code
2.b. Preparer's Given Name (First Name)
6.g. Province
3.
Preparer's Business or Organization Name
6.h. Country
Declaration
Preparer's Contact Information
To be completed by all preparers, including attorneys and
4.
Preparer's Daytime Phone Number
Extension
authorized representatives: I declare that I prepared this petition
at the request of the petitioner, that it is based on all the
(
)
-
information of which I have knowledge, and that the information
5.
Preparer's E-mail Address (if any)
is true to the best of my knowledge.
7.a. Signature
of Preparer
7.b. Date of Signature (mm/dd/yyyy) ►
Form I-140 01/17/17 N
Page 6 of 6
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