Immigrant Petition by Alien Entrepreneur
USCIS
Form I-526
Department of Homeland Security
OMB No. 1615-0026
U.S. Citizenship and Immigration Services
Expires 12/31/2018
Classification
Action Block
Fee Receipt
For
Priority Date
USCIS
Use
Remarks
Only
Received
Relocated Sent
Resubmitted
Received
Select this box if Form G-28 is
Attorney or Accredited Representative
To be completed by an attorney or
attached to represent the
USCIS Online Account Number (if any)
BIA-accredited representative (if any).
applicant.
►
START HERE - Type or print in black ink.
6.a. Family Name
Part 1. Information About You
(Last Name)
6.b. Given Name
Provide the following information about yourself.
(First Name)
1.
Alien Registration Number (A-Number) (if any)
6.c. Middle Name
►
A-
2.
USCIS Online Account Number (if any)
Mailing Address
►
7.a. In Care Of Name (if any)
3.
U.S. Social Security Number (if any)
►
7.b.
Street Number
and Name
Your Full Name
7.c.
Apt.
Ste.
Flr.
4.a. Family Name
(Last Name)
7.d. City or Town
4.b. Given Name
(First Name)
7.e. State
7.f.
ZIP Code
4.c. Middle Name
7.g. Province
Other Names Used
7.h. Postal Code
List all other names you have ever used, including aliases,
7.i.
Country
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 11.
Additional Information.
5.a. Family Name
(Last Name)
5.b. Given Name
(First Name)
5.c. Middle Name
Form I-526 05/30/17 N
Page 1 of 13