Uscis I-864 Real Estate Consulting Agreement
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12USCIS
Affidavit of Support Under Section 213A of the INA
Form I-864
Department of Homeland Security
OMB No. 1615-0075
U.S. Citizenship and Immigration Services
Expires 07/31/2017
Affidavit of Support Submitter
Section 213A Review
Number of Support Affidavits in File
Petitioner
MEETS
DOES NOT MEET
1
2
For
requirements
requirements
1st Joint Sponsor
USCIS
Remarks
Use
2nd Joint Sponsor
Reviewed By:
Only
Substitute Sponsor
Office:
5% Owner
Date (mm/dd/yyyy):
►
START HERE - Type or print in black ink.
Part 2. Information About the Principal
Part 1. Basis For Filing Affidavit of Support
Immigrant
I,
,
1.a. Family Name
am the sponsor submitting this affidavit of support because
(Last Name)
(Select only one box):
1.b. Given Name
(First Name)
I am the petitioner. I filed or am filing for the
1.a.
immigration of my relative.
1.c. Middle Name
I filed an alien worker petition on behalf of the
1.b.
intending immigrant, who is related to me as my
Mailing Address
2.a.
In Care Of Name
1.c.
I have an ownership interest of at least 5 percent in
2.b.
Street Number
which filed an alien worker petition on behalf of the
and Name
intending immigrant, who is related to me as my
2.c.
Apt.
Ste.
Flr.
1.d.
I am the only joint sponsor.
2.d. City or Town
1.e.
I am the
first
second of two joint sponsors.
2.e. State
2.f.
ZIP Code
The original petitioner is deceased. I am the
1.f.
substitute sponsor. I am the intending immigrant's
2.g.
Province
2.h. Postal Code
NOTE: If you select Item Number 1.a., 1.b., 1.c., 1.d., 1.e.,
or 1.f., you must include proof of your U.S. citizenship, U.S.
2.i.
Country
national status, or lawful permanent resident status.
Form I-864 07/02/15 N
Page 1 of 12
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