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Department of Homeland Security. U.S. Citizenship and Immigration Services. USCIS. Form I-864A. OMB No. 1615-0075 Expires 01/31/2026. For Government Use Only. This Form I-864A relates to a household member who: IS the intending immigrant. IS NOT the intending immigrant. Select this box if Form G-28 or. Reviewed By: Location:
I-864A, Contract Between Sponsor and Household Member. Use this form if you are a household member and want to promise to make your income and/or assets available to help support a sponsored immigrant.
Under this contract, you agree that, in deciding whether the intending immigrant can establish that he or she is not inadmissible to the United States as a person likely to become a public charge, the U.S. Government can consider your income and assets as available for the support of the intending immigrant.
Department of Homeland Security. U.S. Citizenship and Immigration Services. USCIS. Form I-864A. OMB No. 1615-0075 Expires 10/31/2021. For Government Use Only. This Form I-864A relates to a household member who: IS the intending immigrant. IS NOT the intending immigrant. Select this box if Form G-28 or. Reviewed By: Location: Date (mm/dd/yyyy):
Department of Homeland Security. U.S. Citizenship and Immigration Services. USCIS. Form I-864A. OMB No. 1615-0075 Expires 03/31/2020. For Government Use Only. This Form I-864A relates to a household member who: IS the intending immigrant. IS NOT the intending immigrant. Select this box if Form G-28 or. Reviewed By: Location:
form is true and correct to the best of my knowledge and belief and that the Federal income tax returns submitted in support of the contract are true copies or unaltered tax transcripts filed with the Internal Revenue Service. Form I-864A (03/22/13) Y Page 3. For Government Use Only. 13. I, THE SPONSOR, (Print Name) b. c. d. a. U.S. Social ...
Household Member's Declaration and Certification, and that all of this information is complete, true, and correct. I completed this contract based only on information that the sponsor and household member provided to me or authorized me to obtain or use.
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Afidavit of Support Under Section 213A of the INA. A separate Form I-864A must be used for each household member whose income and/or assets are being used by a sponsor to qualify.
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support Under Section 213A of the Immigration and Nationality Act (the Act). The sponsor enters the information above, complete Part 2 of this form, and signs in Part 5.
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support Under Section 213A of the Immigration and Nationality Act. It is an optional form, completed and signed by two individuals: a sponsor who is completing Form I-864, and a household member who is promising to make his or her