Part 6. Interpreter's Contact Information,
Part 7. Contact Information, Declaration, and
Certification, and Signature (continued)
Signature of the Person Preparing this Petition, if
Other Than the Petitioner
Interpreter's Mailing Address
Provide the following information about the preparer.
3.a.
Street Number
and Name
Preparer's Full Name
3.b.
Apt.
Ste.
Flr.
1.a. Preparer's Family Name (Last Name)
3.c. City or Town
3.d. State
3.e. ZIP Code
1.b. Preparer's Given Name (First Name)
3.f.
Province
2.
Preparer's Business or Organization Name (if any)
3.g.
Postal Code
3.h. Country
Preparer's Mailing Address
3.a.
Street Number
Interpreter's Contact Information
and Name
3.b.
Apt.
Ste.
Flr.
4.
Interpreter's Daytime Telephone Number
3.c. City or Town
5.
Interpreter's Mobile Telephone Number (if any)
3.d. State
3.e. ZIP Code
3.f.
Province
6.
Interpreter's Email Address (if any)
3.g.
Postal Code
3.h. Country
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
,
Preparer's Contact Information
which is the same language specified in Part 5., 1.b., and I have
4.
Preparer's Daytime Telephone Number
read to this petitioner in the identified language every question
and instruction on this petition and his or her answer to every
question. The petitioner informed me that he or she understands
5.
Preparer's Mobile Telephone Number (if any)
every instruction, question, and answer on the petition,
including the Petitioner's Declaration and Certification, and
has verified the accuracy of every answer.
6.
Preparer's Email Address (if any)
Interpreter's Signature
7.a.
Interpreter's Signature (sign in ink)
7.b.
Date of Signature (mm/dd/yyyy)
Page 9 of 11
Form I-918 02/07/17 N