Form I-751 - Petition To Remove Conditions On Residence Page 7
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11Spouse's or Individual's Statement
Part 7. Petitioner's Statement, Contact
Information, Acknowledgement of Appointment
NOTE: Select the box for either Item Number 1.a. or 1.b. If
at USCIS Application Support Center,
applicable, select the box for Item Number 2.
Certification, and Signature (continued)
1.a.
I can read and understand English, and have read and
understand every question and instruction on this
Petitioner's Certification
petition, as well as the petitioner's answer to every
question. I have read and understand the
Copies of any documents I have submitted are exact photocopies
Acknowledgement of Appointment at USCIS
of unaltered, original documents, and I understand that USCIS
Application Support Center.
may require that I submit original documents to USCIS at a later
date. Furthermore, I authorize the release of any information from
1.b.
The interpreter named in Part 9. has also read to me
any and all of my records that USCIS may need to determine my
every question and instruction on this petition, as
eligibility for the immigration benefit that I seek.
well as the petitioner's answer to every question, in
I furthermore authorize release of information contained in this
,
petition, in supporting documents, and in my USCIS records to
a language in which I am fluent. I understand every
other entities and persons where necessary for the administration
question and instruction on this petition as translated
and enforcement of U.S. immigration laws.
to me by my interpreter, and have provided complete,
true, and correct responses in the language indicated
I certify under penalty of perjury, that the information in my
above. The interpreter named in Part 9. has also
petition, my responses to each question, and any document
read the Acknowledgement of Appointment at
submitted with my petition were provided by me and are
USCIS Application Support Center to me, in the
complete, true, and correct.
language in which I am fluent, and I understand this
Application Support Center (ASC)
Petitioner's Signature
Acknowledgement as read to me by my interpreter.
6.a.
Petitioner's Signature
2.
I have requested the services of and consented to
,
who
is
is not an attorney or accredited
6.b.
Date of Signature (mm/dd/yyyy)
representative, preparing this petition for me. This
person who assisted me in preparing my petition has
NOTE TO ALL PETITIONERS: If you do not completely
reviewed the Acknowledgement of Appointment at
fill out this petition or fail to submit required documents listed
USCIS Application Support Center with me, and I
in the Instructions, USCIS may deny your petition.
understand the ASC Acknowledgement.
NOTE: If you are filing based on claims of having been
Spouse's or Individual's Contact Information
battered or subjected to extreme cruelty waiver or individual
filing, you are not required to have the spouse's or individual
3.
Spouse's or Individual's Daytime Telephone Number
listed in Part 4's signature.
4.
Spouse's or Individual's Mobile Telephone Number (if any)
Part 8. Spouse's or Individual Listed in Part 4.'s
Statement, Contact Information,
Acknowledgement of Appointment USCIS
5.
Spouse's or Individual's Email Address (if any)
Application Support Center, Certification, and
Signature (if applicable)
Provide the following information about the spouse or
individual listed in Part 4.
NOTE: Read the information on penalties in the Penalties
section of the Form I-751 Instructions before completing this
part.
Form I-751 12/23/16 N
Page 7 of 11
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