Uscis I-864 Real Estate Consulting Agreement Page 3

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Sponsor's Mailing Address
Part 3. Information About the Immigrants You
Are Sponsoring (continued)
2.a.
In Care Of Name
19.
Relationship to Sponsored Immigrant
2.b.
Street Number
and Name
20.
Date of Birth (mm/dd/yyyy)
2.c.
Apt.
Ste.
Flr.
21.
Alien Registration Number (A-Number) (if any)
2.d. City or Town
A-
2.e. State
2.f.
ZIP Code
22.
USCIS ELIS Account Number (if any)
2.g.
Province
Family Member 5
2.h. Postal Code
23.a.
Family Name
2.i.
Country
(Last Name)
23.b.
Given Name
(First Name)
3.
Is your current mailing address the same as your physical
23.c.
Middle Name
address?
Yes
No
24.
Relationship to Sponsored Immigrant
If you answered "No" to Item Number 3., provide your
physical address below.
25.
Date of Birth (mm/dd/yyyy)
Sponsor's Physical Address
26.
Alien Registration Number (A-Number) (if any)
4.a.
Street Number
A-
and Name
4.b.
Apt.
Ste.
Flr.
27.
USCIS ELIS Account Number (if any)
4.c.
City or Town
28.
Enter the total number of immigrants you are sponsoring
4.d.
State
4.e.
ZIP Code
on this affidavit from Item Numbers 1.a. - 27.
4.f.
Province
4.g. Postal Code
Part 4. Information About You (Sponsor)
4.h. Country
Sponsor's Full Name
1.a.
Family Name
(Last Name)
1.b.
Given Name
(First Name)
1.c.
Middle Name
Form I-864 07/02/15 N
Page 3 of 12

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