Uscis I-864 Real Estate Consulting Agreement Page 2
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127.
USCIS ELIS Account Number (if any)
Part 2. Information About the Principal
►
Immigrant (continued)
Other Information
Family Member 2
8.a.
Family Name
3.
Country of Citizenship or Nationality
(Last Name)
8.b.
Given Name
(First Name)
4.
Date of Birth (mm/dd/yyyy)
8.c.
Middle Name
5.
Alien Registration Number (A-Number) (if any)
►
9.
Relationship to Sponsored Immigrant
A-
6.
USCIS ELIS Account Number (if any)
►
10.
Date of Birth (mm/dd/yyyy)
Daytime Telephone Number
7.
11.
Alien Registration Number (A-Number) (if any)
►
A-
12.
USCIS ELIS Account Number (if any)
►
Part 3. Information About the Immigrants You
Are Sponsoring
Family Member 3
13.a. Family Name
1.
I am sponsoring the principal immigrant named in Part 2.
(Last Name)
Yes
No (Applicable only if you are sponsoring
13.b. Given Name
family members in Part 3. as the second
(First Name)
joint sponsor)
13.c. Middle Name
2.
I am sponsoring the following family members
immigrating at the same time or within six months of
14.
Relationship to Sponsored Immigrant
the principal immigrant named in Part 2. (Do not
include any relative listed on a separate visa petition.)
15.
Date of Birth (mm/dd/yyyy)
Family Member 1
3.a.
Family Name
16.
Alien Registration Number (A-Number) (if any)
(Last Name)
►
A-
3.b. Given Name
(First Name)
17.
USCIS ELIS Account Number (if any)
►
3.c. Middle Name
4.
Relationship to Sponsored Immigrant
Family Member 4
18.a.
Family Name
(Last Name)
5.
Date of Birth (mm/dd/yyyy)
18.b.
Given Name
(First Name)
6.
Alien Registration Number (A-Number) (if any)
►
A-
18.c.
Middle Name
Form I-864 07/02/15 N
Page 2 of 12
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