Form I-881 - Application For Suspension Of Deportation Or Special Rule Cancellation Of Removal Page 5
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8Part 7. Information About Your Parent(s)
You do not need to provide information about your parents' assets and earnings unless you believe that your removal would result in extreme
hardship to your parent or parents.
Place of Birth:
Immigration
Date of Birth:
Name of Parent: (Family Name(s), First, Middle)
A #
(City and Country)
Status:
(mm/dd/yyyy)
Father:
Citizenship:
Current Address:
(Number and Street, City,
State, or Country)
Estimated total assets: $
Weekly Earnings: $
Mother:
Citizenship:
Current Address:
(Number and Street,
City, State, or Country)
Estimated total assets: $
Weekly Earnings: $
Part 8. Miscellaneous Information
Respond to the following questions. If you answer "Yes" to any of these questions, provide an explanation on an attached sheet of paper.
1. Have you ever (either in the United States or in another country) been arrested, summoned into court as a defendant, convicted, fined,
imprisoned, placed on probation, or forfeited collateral for an act involving a felony, misdemeanor, or breach of any public law or ordinance
(including, but not limited to, driving violations involving alcohol)?
Yes
No (If you answered "Yes," your explanation must include a
brief description of each offense, including the name and location of the offense, date of conviction, any penalty imposed, any sentence imposed,
and the time actually served.)
2. Have you ever been:
Yes
No
A habitual drunkard?
Yes
No
One who has derived income principally from illegal gambling?
Yes
No
One who has given false testimony for the purpose of obtaining immigration benefits?
Yes
No
One who has engaged in prostitution or unlawful commercialized vice?
Yes
No
Involved in a serious criminal offense and asserted immunity from prosecution?
Yes
No
One who has aided and/or abetted another to enter the United States illegally?
A trafficker of a controlled substance, or one who knowingly assisted, abetted, conspired, or colluded with others in any such
Yes
No
trafficking (not including a single offense of simple possession of 30 grams or less of marijuana)?
Yes
No
A practicing polygamist?
Yes
No
Admitted into the United States as a crewman after June 30, 1964?
Yes
No
Admitted into the United States as, or after arrival acquired the status of, an exchange visitor?
Inadmissible or deportable on security related grounds under sections 212(a)(3) or 237(a)(4) (for cancellation applicants), or
Yes
No
under pre-IIRIRA section 241(a)(4) (for suspension applicants) of the Immigration and Nationality Act (INA)?
One who has ordered, incited, assisted, or otherwise participated in the persecution of an individual on account of his or her
Yes
No
race, religion, nationality, membership in a particular social group, or political opinion?
A person previously granted relief under section 212(c) (waiver for certain grounds of inadmissibility) or 244(a) (suspension
Yes
No
of deportation) of the INA or whose removal has previously been canceled under section 240A (cancellation of removal) of
the INA?
Form I-881 07/08/11 Y Page 5
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