Interpreter's Certification
Part 9. Interpreter's Contact Information,
Certification, and Signature
I certify that:
I am fluent in English and
Provide the following information about the interpreter.
,
which is the same language provided in Part 8., Item Number
1.b.;
Interpreter's Full Name
I have read to this sponsor every question and instruction on
1.a.
Interpreter's Family Name (Last Name)
this affidavit, as well as the answer to every question, in the
language provided in Part 8., Item Number 1.b.; and
The sponsor has informed me that he or she understands every
1.b.
Interpreter's Given Name (First Name)
instruction and question on the affidavit, as well as the answer
to every question, and the sponsor verified the accuracy of
every answer.
2.
Interpreter's Business or Organization Name (if any)
Interpreter's Signature
Interpreter's Mailing Address
6.a.
Interpreter's Signature
3.a.
Street Number
and Name
6.b.
Date of Signature (mm/dd/yyyy)
3.b.
Apt.
Ste.
Flr.
3.c. City or Town
Part 10. Contact Information, Statement,
3.d. State
3.e. ZIP Code
Certification, and Signature of the Person
Preparing this Affidavit, If Other Than the
3.f.
Province
Sponsor
3.g.
Postal Code
Provide the following information about the preparer.
3.h.
Country
Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
Interpreter's Contact Information
4.
Interpreter's Daytime Telephone Number
1.b.
Preparer's Given Name (First Name)
5.
Interpreter's Email Address (if any)
2.
Preparer's Business or Organization Name (if any)
Form I-864 07/02/15 N
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