Form I-751 - Petition To Remove Conditions On Residence Page 9
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11Preparer's Mailing Address
Part 9. Interpreter's Contact Information,
Certification, and Signature (continued)
3.a.
Street Number
and Name
Interpreter's Certification
3.b.
Apt.
Ste.
Flr.
I certify that:
3.c. City or Town
I am fluent in English and
, which
is the same language provided in Part 7., Item Number 1.b.;
3.d. State
3.e. ZIP Code
I have read to this petitioner every question and instruction on
3.f.
Province
this petition, as well as the answer to every question, in the
language provided in Part 7., Item Number 1.b.; and
3.g. Postal Code
I have read the Acknowledgement of Appointment at USCIS
Application Support Center to the petitioner in the same
3.h.
Country
language provided in Part 7., Item Number 1.b.
The petitioner has informed me that he or she understands every
instruction and question on the petition, as well as the answer to
Preparer's Contact Information
every question, and the petitioner verified the accuracy of every
answer; and
4.
Preparer's Daytime Telephone Number
The petitioner has also informed me that he or she understands
the ASC Acknowledgement and that by appearing for a USCIS
5.
Preparer's Fax Number
ASC biometric services appointment and providing his or her
fingerprints, photograph, and/or signature, he or she is
re-affirming that the contents of this petition and all supporting
6.
Preparer's Email Address (if any)
documentation are complete, true, and correct.
Interpreter's Signature
Preparer's Statement
6.a.
Interpreter's Signature
I am not an attorney or accredited representative
7.a.
but have prepared this petition on behalf of the
petitioner and with the petitioner's consent.
6.b.
Date of Signature (mm/dd/yyyy)
I am an attorney or accredited representative and
7.b.
my representation of the petitioner in this case
Part 10. Contact Information, Statement,
extends
does not extend beyond the
Certification, and Signature of the Person
preparation of this petition.
Preparing this Petition, If Other Than the
NOTE: If you are an attorney or accredited
Petitioner
representative whose representation extends
beyond preparation of this petition, you must
submit a completed Form G-28, Notice of Entry
Provide the following information about the preparer.
of Appearance as Attorney or Accredited
Preparer's Full Name
Representative, with this petition.
1.a. Preparer's Family Name (Last Name)
1.b.
Preparer's Given Name (First Name)
2.
Preparer's Business or Organization Name (if any)
Form I-751 12/23/16 N
Page 9 of 11
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