Questions For I-134 Affidavit of Support
 

Information on sponsor (you):

Last name:

First name:

Middle name: 

Address (street number and name):

Apt. Number

  

City:

  

State:

Country:

Zip Code:

Telephone:

If you are NOT a native born United States citizen, answer the following:
    a.  If a U.S. citizen through naturalization, give certificate of naturalization number:
    b.  If a U.S. citizen through parent(s) or marriage, give citizenship certificate number:
    c.  If not a permanent resident or citizen, are you currently applying for citizenship?:
    d.  If lawfully admitted permanent resident of the U.S., give "A" number:

Your age:

You have resided in the United States since (date):
 

Information on the Immigrant you are sponsoring:

Last name:

First name:

Middle name: 

Gender: Male Female

Age:

Country of citizenship:

Marital status:

Relationship to sponsor:

Current Address (street number and name):

Apt. Number

  

City:

  

State:

Country:

Zip Code:
 

Name of spouse and children accompanying or following to join person:

SPOUSE:

Last name:

First name:

Middle name: 

Gender: Male Female

Age:

CHILD (1):

Last name:

First name:

Middle name: 

Gender: Male Female

Age:

CHILD (2):

Last name:

First name:

Middle name: 

Gender: Male Female

Age:

 

Sponsor's Employment:

You are engaged in the business of:

Name of company:

Full address of company:

Annual Income:

 

The following persons are dependent upon me for support:

Name:

 Wholly Dependant
 Partially Dependant

Age:

Relationship to you:

 
 

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CONTACT US

Richard I. Fleischer & Associates
917 Main Street - Cincinnati, Ohio 45202-1314 USA
Phone: 513.977.4209 - Fax: 513.977.4238

fleischer@immigrate2usa.com
Disclaimer
Nothing at this site should be construed as legal advise for any individual case or situation. This information is general content only, and should not be relied upon for any specific information. For specific legal advise consult an experienced immigration attorney.



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