Instructions For Form I-864 - Affidavit Of Support Under Section 213a Of The Ina (Page 6 of 16) in pdf

1. Proof of U.S. citizen or U.S. national status includes a copy of your birth certificate, certificate of naturalization,

certificate of citizenship, consular report of birth abroad to U.S. citizen parents, or a copy of the biographic data page

of your U.S. passport.

2. Proof of lawful permanent resident status includes a photocopy of both sides of the Permanent Resident Card or Alien

Registration Receipt Card (Form I-551), or a photocopy of an unexpired temporary Form I-551 stamp in either a

foreign passport or a Department of Homeland Security (DHS) Form I-94 Arrival-Departure Record.

3. If applicable, also provide the sponsor’s A-Number in Item Number 12.

Item Number 12. Sponsor’s Alien Registration Number (if any). An Alien Registration Number (A-Number) is a

number assigned by the former INS or USCIS. People with A-Numbers can locate the number on their INS or USCIS-

issued documentation.

Item Number 13. Sponsor’s USCIS ELIS Account Number (if any). If you (the sponsor) have previously filed an

application, petition, or request using the USCIS Electronic Immigration System (USCIS ELIS), provide the USCIS ELIS

Account Number you were issued by the system. The USCIS ELIS Account Number is not the same as an A-Number. If

you were issued a USCIS ELIS Account Number, enter it in the space provided.

Item Number 14. Military Service. Select “Yes” if you are the petitioning sponsor and on active duty in the U.S. Army,

Marines, Navy, Air Force, or Coast Guard, other than for training. If you provide evidence that you are currently on active

duty in the U.S. Armed Forces or U.S. Coast Guard and you are petitioning for your spouse and/or minor child, you will

need to demonstrate income at only 100 percent of the poverty level for your household size, instead of at 125 percent

of the poverty level. (See Form I-864P, Federal Poverty Guidelines, for information on the poverty levels.) Select “No”

if you are not on active duty in the U.S. Armed Forces or U.S. Coast Guard. This provision does not apply to joint and

substitute sponsors.

Part 5. Sponsor’s Household Size

Add together the number of persons for whom you are financially responsible. Some of these persons may not be residing

with you. Make sure you do not count any individual more than once. In some cases the same person could fit into two

categories. For example, your spouse, whom you would enter in Item Number 3., might also be a lawful permanent

resident for whom you have already sponsored using Form I-864 (Item Number 6.). If you included your spouse on Item

Number 3., do not include him or her again on Item Number 6.

Item Number 1. Provide the number you entered in Part 3., Item Number 28. If you or someone else is completing

Form I-864 on a computer, this box will auto-populate.

Item Number 2. This field is auto-populated to “1.”

Item Number 3. Enter “1” if you are married. Enter “0” if you are not married.

Item Number 4. Enter the number of unmarried children you have who are under 21 years of age, even if you do not

have legal custody of these children. You may exclude any unmarried children under 21 years of age, if these children

have reached majority under the law of their place of domicile and you do not claim them as dependents on your Federal

income tax returns.

Item Number 5. Enter the number of any other dependents. You must include each and every person whom you have

claimed as a dependent on your most recent Federal income tax return, even if that person is not related to you. Even if

you are not legally obligated to support that person, you must include the person if, in fact, you did support that person

and claimed the person as a dependent.

Item Number 6. Enter the number of lawful permanent residents whom you are currently obligated to support based

on your previous submission of Form I-864 as a petitioning, substitute, or joint sponsor, or Form I-864EZ, Affidavit

of Support Under Section 213A of the INA, as a petitioning sponsor. Include only those persons who have already

immigrated to the United States. Do not include anyone for whom your obligation to support has ended through the

sponsored immigrant’s acquisition of U.S. citizenship, death, abandonment of lawful permanent residence in the United

States, acquisition of 40 quarters of earned or credited work in the United States, or obtaining a new grant of adjustment

of status while in removal proceedings based on a new affidavit of support, if one is required.

Form I-864 Instructions 07/02/15 N

Page 6 of 16

Instructions For Form I-864 - Affidavit Of Support Under Section 213a Of The Ina Page 6

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