Form I-929 - Petition For Qualifying Family Member Of A U-1 Nonimmigrant Page 7

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Part 4. Processing Information
1. Check one:
a.
The person named in Part 2 is now in the United States
b.
The person named in Part 2 is now outside the United States. (Indicate below at which U.S. Embassy
or consulate your relative will apply for a visa.)
U.S. Embassy or consulate at:
City and Country
2. Is the person named in Part 2 or has this person ever been in deportation or removal proceedings in the United States?
No
a.
Yes (Indicate when and where):
b.
Part 6. Signature
I certify, or if outside the United States, I swear or affirm, under penalty of perjury under the laws of the United States of America,
that this petition and the evidence submitted with it, is all true and correct. I authorize the release of any information from my record
that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.
Signature
Print Your Full Name
Date
Part 7. Preparer's Information, If Other Than Person Signing Above
I declare that I prepared this petition at the request of the above person, and it is based on all the information that I have knowledge.
Signature
Print Your Full Name
Date
Firm Name
Street Number and Name
Suite Number
City/State or Province
Postal/Zip Code
Telephone Number
Form I-929 (10/04/11) Y Page 7

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