Form I-601a - Application For Provisional Unlawful Presence Waiver Page 8
Download a blank fillable Form I-601a - Application For Provisional Unlawful Presence Waiver 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-601a - Application For Provisional Unlawful Presence Waiver 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
6
7
8
9Preparer's Statement
Part 8. Contact Information, Declaration, and
Signature of the Person Preparing this
7.a.
I am not an attorney or accredited representative but
Application, if Other Than the Applicant
have prepared this form on behalf of the authorized
individual and with the authorized individual's consent.
Provide the following information about the preparer.
7.b.
I am an attorney or accredited representative and
have prepared this form on behalf of the authorized
Preparer's Full Name
individual and with the authorized individual's
1.a. Preparer's Family Name (Last Name)
consent.
NOTE: If you are an attorney or accredited
representative, you may be obliged to submit a
1.b.
Preparer's Given Name (First Name)
completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited
Representative, with this application.
2.
Preparer's Business or Organization Name (if any)
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I
Preparer's Mailing Address
prepared this application at the request of the applicant. The
3.a.
Street Number
applicant then reviewed this completed application and informed
and Name
me that he or she understands all of the information contained
in, and submitted with, his or her application, including the
3.b.
Apt.
Ste.
Flr.
Applicant's Certification, and that all of this information is
complete, true, and correct. I completed this application based
3.c. City or Town
only on information that the applicant provided to me or
authorized me to obtain or use.
3.d. State
3.e. ZIP Code
Preparer's Signature
3.f.
Province
8.a. Preparer's Signature (sign in ink)
3.g. Postal Code
3.h.
Country
8.b. Date of Signature (mm/dd/yyyy)
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)
Form I-601A 12/23/16 N
Page 8 of 9
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal