Form I-924 - Application For Regional Center Designation Under The Immigrant Investor Program Page 9

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Part 8. Interpreter's Contact Information,
Interpreter's Signature
Certification, and Signature
7.a.
Interpreter's Signature
Provide the following information about the interpreter.
Interpreter's Full Name
7.b.
Date of Signature (mm/dd/yyyy)
1.a. Interpreter's Family Name (Last Name)
Part 9. Contact Information, Declaration, and
Signature of the Person Preparing this
1.b. Interpreter's Given Name (First Name)
Application, if Other Than the Authorized
Individual
2.
Interpreter's Business or Organization Name (if any)
Provide the following information about the preparer.
Preparer's Full Name
Interpreter's Mailing Address
1.a. Preparer's Family Name (Last Name)
3.a.
Street Number
and Name
1.b. Preparer's Given Name (First Name)
3.b.
Apt.
Ste.
Flr.
3.c. City or Town
2.
Preparer's Business or Organization (if any)
3.d. State
3.e. ZIP Code
NOTE: If applicable, provide the name of your accredited
3.f.
Province
organization recognized by the Board of Immigration Appeals
(BIA).
3.g.
Postal Code
Preparer's Mailing Address
3.h. Country
3.a.
Street Number
and Name
Interpreter's Contact Information
3.b.
Apt.
Ste.
Flr.
4.
Interpreter's Daytime Telephone Number
3.c. City or Town
3.d. State
3.e. ZIP Code
5.
Interpreter's Mobile Telephone Number
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:
Preparer's Contact Information
I am fluent in English and
, which
4.
Preparer's Daytime Telephone Number
is the same language specified in Part 7., Item Number 1.b.,
and I have read to the authorized individual in the identified
5.
Preparer's Mobile Telephone Number (if any)
language every question and instruction on this application and
his or her answer to every question. The authorized individual
informed me that he or she understands every instruction,
6.
Preparer's Email Address (if any)
question, and answer on the application, including the
Authorized Individual's Declaration and Certification, and
has verified the accuracy of every answer.
Form I-924 12/23/16 N
Page 9 of 11

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