Form I-751 - Petition To Remove Conditions On Residence Page 8
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11Spouse's or Individual's Signature
Part 8. Spouse's or Individual Listed in Part 4.'s
Statement, Contact Information,
6.a.
Spouse's or Individual's Signature
Acknowledgement of Appointment USCIS
Application Support Center, Certification, and
Signature (if applicable) (continued)
6.b.
Date of Signature (mm/dd/yyyy)
Acknowledgement of Appointment at USCIS
NOTE TO ALL SPOUSES OR INDIVIDUALS: If you do
Application Support Center
not completely fill out this petition or fail to submit required
documents listed in the instructions, USCIS may deny your
petition.
I,
,
understand that the purpose of a USCIS ASC appointment is
for me to provide my fingerprints, photograph, and/or
Part 9. Interpreter's Contact Information,
signature and to re-affirm that all of the information in my
Certification, and Signature
petition is complete, true, and correct and was provided by me.
I understand that I will sign my name to the following
Provide the following information about the interpreter.
declaration which USCIS will display to me at the time I
provide my fingerprints, photograph, and/or signature during
Interpreter's Full Name
my ASC appointment.
1.a.
Interpreter's Family Name (Last Name)
By signing here, I declare under penalty of perjury
that I have reviewed and understand my application,
petition, or request as identified by the receipt
1.b.
Interpreter's Given Name (First Name)
number displayed on the screen above, and all
supporting documents, applications, petitions, or
requests filed with my application, petition, or request
2.
Interpreter's Business or Organization Name (if any)
that I (or my attorney or accredited representative)
filed with USCIS, and that all of the information in
these materials is complete, true, and correct.
Interpreter's Mailing Address
I also understand that when I sign my name, provide my
fingerprints, and am photographed at the USCIS ASC, I will be
3.a.
Street Number
re-affirming that I willingly submit this petition; I have reviewed
and Name
the contents of this petition; all of the information in my petition
3.b.
Apt.
Ste.
Flr.
and all supporting documents submitted with my petition were
provided by me and are complete, true, and correct; and if I was
3.c. City or Town
assisted in completing this petition, the person assisting me also
reviewed this Acknowledgement of Appointment at USCIS
3.d. State
3.e. ZIP Code
Application Support Center with me.
3.f.
Province
Spouse's or Individual's Certification
3.g. Postal Code
Copies of any documents I have submitted are exact photocopies
of unaltered, original documents, and I understand that USCIS
3.h.
Country
may require that I submit original documents to USCIS at a later
date. Furthermore, I authorize the release of any information from
any and all of my records that USCIS may need to determine my
eligibility for the immigration benefit that I seek.
Interpreter's Contact Information
I furthermore authorize release of information contained in this
4.
Interpreter's Daytime Telephone Number
petition, in supporting documents, and in my USCIS records to
other entities and persons where necessary for the administration
and enforcement of U.S. immigration laws.
5.
Interpreter's Email Address (if any)
I certify under penalty of perjury, that the information in my
petition, my responses to each question, and any document
submitted with my petition were provided by me and are
complete, true, and correct.
Form I-751 12/23/16 N
Page 8 of 11
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