Instructions For Form I-134 - Affidavit Of Support Page 3

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Supporting Evidence
As the sponsor, you must show you have sufficient income or financial resources to assure that the foreign national you
are sponsoring will not become a public charge while in the United States.
Evidence should consist of copies of any of the documents listed below that apply to your situation.
Failure to provide evidence of sufficient income or financial resources may result in the denial of the foreign national’s
application for a visa or his or her removal from the United States.
Submit in duplicate evidence of income and resources, as appropriate:
A. Statement from an officer of the bank or other financial institutions with deposits, identifying the following details
regarding the account:
(1) Date account opened;
(2) Total amount deposited for the past year; and
(3) Present balance.
B. Statement(s) from your employer on business stationery showing:
(1) Date and nature of employment;
(2) Salary paid; and
(3) Whether the position is temporary or permanent.
C. If self-employed:
(1) Copy of last income tax return filed; or
(2) Report of commercial rating concern.
D. List containing serial numbers and denominations of bonds and name of record owner(s).
Sponsor and Beneficiary Liability
Under section 213 of the Act, if the person you are sponsoring becomes a public charge, the agency that provides
assistance may be able to sue you to recover the cost of the assistance.
In addition to that provision, your income and assets may be combined with the income and assets of the person you are
sponsoring in determining whether that person is eligible for Food Stamps, 7 U.S.C. 2014(i)(1), Supplemental Security
Income (SSI), 42 U.S.C. 1382j, and Temporary Assistance for Needy Families (TANF), 42 U.S.C. 608.
Documentation of Income and Resources
A foreign national applying for SSI must make available to the Social Security Administration documentation concerning
his or her income and resources and those of the sponsor, including information that was provided in the corresponding
application.
A foreign national applying for TANF or Food Stamps must make similar information available to the State public
assistance agency.
The U.S. Secretary of Health and Human Services and the U.S. Secretary of Agriculture are authorized to obtain copies
of any such documentation submitted to U.S. Citizenship and Immigration Services, (USCIS) or the U.S. Department of
State and to release such documentation to a State public assistance agency.
Form I-134 Instructions 11/30/16 N
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