Uscis I-864 Real Estate Consulting Agreement Page 5

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For
USCIS
Use
Only
4.
Relationship
Part 6. Sponsor's Employment and Income
I am currently:
1.a.
Employed as a/an
5.
Current Income
$
Person 2
1.a.1.
Name of Employer 1 (if applicable)
6.
Name
1.a.2.
Name of Employer 2 (if applicable)
7.
Relationship
1.b.
Self employed as a/an (Occupation)
8.
Current Income
$
Person 3
1.c.
Retired From (Company Name)
9.
Name
10.
Relationship
since (mm/dd/yyyy)
1.d.
Unemployed
11.
Current Income
$
since (mm/dd/yyyy)
Person 4
2.
My current individual annual income is:
12.
Name
$
Income you are using from any other person who was
13.
Relationship
counted in your household size, including, in certain
conditions, the intending immigrant. (See Form I-864
Instructions.) Please indicate name, relationship, and income.
14.
Current Income
$
Person 1
15.
My Current Annual Household Income (Total all lines
from Part 6., Item Numbers 2., 5., 8., 11., and 14.; the
3.
Name
total will be compared to Federal Poverty Guidelines on
Form I-864P.)
$
16.
The people listed in Item Numbers 3., 6., 9., and 12.
have completed Form I-864A. I am filing along with
this affidavit all necessary Form I-864As completed
by these people.
Form I-864 07/02/15 N
Page 5 of 12

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