Form I-751 - Petition To Remove Conditions On Residence Page 6
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11Petitioner's Contact Information
Part 7. Petitioner's Statement, Contact
Information, Acknowledgement of Appointment
3.
Petitioner's Daytime Telephone Number
at USCIS Application Support Center,
Certification, and Signature
4.
Petitioner's Mobile Telephone Number (if any)
NOTE: Read the information on penalties in the Penalties
section of the Form I-751 Instructions before completing this
part.
5.
Petitioner's Email Address (if any)
NOTE: If you selected Box 1.a. in Part 3., your spouse must
also read and sign the petition in Part 8. Signature of a
conditional resident child under 14 years of age is not required;
Acknowledgement of Appointment at USCIS
a parent may sign for a child.
Application Support Center
Petitioner's Statement
I,
,
NOTE: Select the box for either Item Number 1.a. or 1.b. If
understand that the purpose of a USCIS ASC appointment is for
applicable, select the box for Item Number 2.
me to provide fingerprints, photograph, and/or signature and to
re-affirm that all of the information in my petition is complete,
1.a.
I can read and understand English, and have read and
true, and correct and was provided by me. I understand that I
understand every question and instruction on this
will sign my name to the following declaration which USCIS
petition, as well as my answer to every question. I
will display to me at the time I provide my fingerprints,
have read and understand the Acknowledgement of
photograph, and/or signature during my ASC appointment.
Appointment at USCIS Application Support
Center.
By signing here, I declare under penalty of perjury
that I have reviewed and understand my application,
1.b.
The interpreter named in Part 9. has also read to me
petition, or request as identified by the receipt
every question and instruction on this petition, as well
number displayed on the screen above, and all
as my answer to every question, in
supporting documents, applications, petitions, or
requests filed with my application, petition, or request
,
that I (or my attorney or accredited representative)
a language in which I am fluent. I understand every
filed with USCIS, and that all of the information in
question and instruction on this petition as translated
these materials is complete, true, and correct.
to me by my interpreter, and have provided complete,
true, and correct responses in the language indicated
If conditional residence was based on a marriage, I further
above. The interpreter named in Part 9. has also
certify that the marriage was entered into in accordance with the
read the Acknowledgement of Appointment at
laws of the place where the marriage took place and was not for
USCIS Application Support Center to me, in the
the purpose of procuring an immigration benefit.
language in which I am fluent, and I understand this
I also understand that when I sign my name, provide my
Application Support Center (ASC)
fingerprints, and am photographed at the USCIS ASC, I will be
Acknowledgement as read to me by my interpreter.
re-affirming that I willingly submit this petition; I have reviewed
2.
I have requested the services of and consented to
the contents of this petition; all of the information in my petition
and all supporting documents submitted with my petition were
,
provided by me and are complete, true, and correct; and if I was
who
is
is not an attorney or accredited
assisted in completing this petition, the person assisting me also
representative, preparing this petition for me. This
reviewed this Acknowledgement of Appointment at USCIS
person who assisted me in preparing my petition has
Application Support Center with me.
reviewed the Acknowledgement of Appointment at
USCIS Application Support Center with me, and I
understand the ASC Acknowledgement.
Form I-751 12/23/16 N
Page 6 of 11
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