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1345 Avenue of the Americas, 2nd Floor
New York, NY 10105
ken
garcia
attorney at law
_________________________________
Immigration & Nationality Law
FREE CONSULTATION
I-129F QUESTIONNAIRE
Please answer all questions completely and truthfully.
If a required field is not applicable, please write N/A or NA.
The information collected will be used to prepare the applicable petition/application, will be kept entirely confidential and will not be disclosed to anyone without the client’s consent.
PART I. INFORMATION ABOUT THE PETITIONER (US Citizen Fiancé(e))
1. Complete Name (LAST, First, Middle):
*
2. Other Names Used (if applicable):
*
3. Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
4. Daytime Phone Number:
*
5. Mobile Phone Number:
*
6. Email:
*
7. Date of Birth (mm/dd/yyyy):
*
8. City of Birth:
*
9. Country of Birth:
*
10. Gender:
*
Male
Female
11. Civil Status:
*
SIngle
Married
Widowed
Divorced
12. U.S. Social Security Number, if any:
*
Write "N/A" if not applicable.
13. Information About Prior Spouse, if applicable:
13(a). Complete Name of Prior Spouse (LAST, First Middle):
*
Write "N/A" if not applicable.
13(b): Date of Birth of Prior Spouse (mm/dd/yyyy):
*
13(c): Date (mm/dd/yyyy) and Place of Marriage with Prior Spouse:
*
13(d): Date (mm/dd/yyyy) and Place of Termination of Marriage with Prior Spouse:
*
14. US Citizenship was acquired:
*
By Birth in the United States
Through Naturalization
Through Parents
14(a). If US Citizenship was acquired through naturalization, provide the following information: Certificate of Naturalization Number; Date f Naturalization; and Place of Naturalization.
*
15. Did the Petitioner gain permanent resident status through marriage to a US Citizen or Lawful Permanent Resident?
*
Yes
No
Not Applicable
16. Has the Petitioner ever filed a petition for this Beneficiary or any other alien?
*
Yes
No
16(a). If yes, provide the following information: name of alien petitioned; relationship of alien petitioner to Petitioner; the date of filing; place of filing; and the result/status of such filing.
*
17. Petitioner has been residing in the United States since (mm/dd/yyyy or mm/yyyy):
*
18. Petitioner is serving overseas in the Armed Forces of the United States:
*
Yes
No
19. Have you ever been convicted by a court of law (civil or criminal or court martialed by a military tribunal for any of the following crimes:
*
Domestic violence, sexual assault, child abuse and neglect, dating violence, elder abuse
Homicide, murder, manslaughter, rape, abusive sexual conduct, sexual exploitation, incest, torture, trafficking, peonage, holding hostage, involuntary servitude, slave trade, kidnapping, abduction, unlawful criminal restraint, false imprisonment or an attempt to commit any of these crimes
Three or more convictions for crimes relating to a controlled substance or alcohol not arising from a single act
Not Applicable
PART II. INFORMATION ABOUT THE BENEFICIARY (Foreign National Fiancé(e))
1. Complete Name (LAST, First, Middle):
*
2. Other Names Used (if applicable):
*
3. Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
3(a). Complete Address Abroad, if different from above:
*
Line 1
Line 2
City
State
Zip Code
Country
4. Daytime Phone Number:
*
5. Mobile Phone Number:
*
6. Email:
*
7. Date of Birth (mm/dd/yyyy):
*
8. City of Birth:
*
9. Country of Birth:
*
10. Gender:
*
Male
Female
11. Civil Status:
*
Single
Married
Widowed
Divorced
12. A-Number, if any:
*
13. U.S. Social Security Number, if any:
*
14. Information About Prior Spouse, if applicable:
14(a). Complete Name of Prior Spouse (LAST, First Middle):
*
14(b): Date of Birth of Prior Spouse (mm/dd/yyyy):
*
14(c): Date (mm/dd/yyyy) and Place of Marriage with Prior Spouse:
*
12(d): Date (mm/dd/yyyy) and Place of Termination of Marriage with Prior Spouse:
*
15. Has the Beneficiary ever been in the US?
*
Yes
No
16. If the Beneficiary is currently in the United States, complete the following:
16(a). The Beneficiary arrived as a:
*
Tourist/Business Visitor
Student
Exchange Visitor
Crewman
Stowaway
Temporary Worker
Without Inspection
Other
16(a)(i). If "Other," please specify:
*
16(b). Date of Most Recent Arrival (mm/dd/yyyy):
*
Write "N/A" if not applicable.
16(c). Place of Most Recent Entry into the United States:
*
Write "N/A" if not applicable.
16(d). Passport Number:
*
16(e). Country of Issuance of Passport:
*
16(f). Expiration Date of Passport (mm/dd/yyyy):
*
17. Is the US Citizen fiancé(e) related to the alien fiancé(e)?
*
Yes
No
17(a). If yes, state the nature/degree of the relationship:
*
18. Has the Beneficiary met and seen the Petitioner within the last 2 years?
*
Yes
No
19. Describe the circumstances under which the Beneficiary met the Petitioner:
*
20. Did the Beneficiary meet the Petitioner through the service sof an international marriage broker?
*
Yes
No
18. Complete Address in the United States where the Beneficiary intends to live:
*
Line 1
Line 2
City
State
Zip Code
Country
PART III. MISCELLANEOUS INFORMATION ABOUT THE PETITIONER
1. Fathers' Name (LAST, First):
*
2. Father's Date of Birth (mm/dd/yyyy):
*
3. Father's City and Country of Birth:
*
4. Father's City and Country of Present Residence:
*
5. Mother's Name (MAIDEN NAME, First):
*
6. Mother's Date of Birth (mm/dd/yyyy):
*
7. Mother's City and Country of Birth:
*
8. Mother's City and Country of Present Residence:
*
9. Petitioner's Income Information:
9(a): Present Annual Income:
*
9(b). Total Income for 2015:
*
refer to Line 22 of your IRS Form 1040
9(c). Total Income for 2014:
*
refer to Line 22 of your IRS Form 1040
9(d). Total Income for 2013:
*
refer to Line 22 of your IRS Form 1040
10. Number of dependents supported by the Petitioner, if any:
*
1
2
3
4
5
more than 5
None
10(a): If there are dependents, provide the following: Name of Dependent; Age of Dependent; Relationship of Dependent to Petitioner
*
11. Petitioner's Residence for the last 5 years.
11(a). Petitioner's Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
11(a)(i). Date (mm/yyyy) the Petitioner started residing at the above address:
*
11(b). Previous Address 1:
*
Line 1
Line 2
City
State
Zip Code
Country
11(b)(i). Date Petitioner's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
11(c). Previous Address 2:
*
Line 1
Line 2
City
State
Zip Code
Country
11(c)(i). Date Petitioner's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
11(d). Previous Address 3:
*
Line 1
Line 2
City
State
Zip Code
Country
11(d)(i). Date Petitioner's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
12. Petitioner's Employment for the last 5 years.
12(a). For the Petitioner's Current or Latest Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
12(b). For the Petitioner's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
12(c). For the Petitioner's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
12(d). For the Petitioner's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
PART IV. MISCELLANEOUS INFORMATION ABOUT THE BENEFICIARY
1. Father's Name (LAST, First):
*
2. Father's Date of Birth (mm/dd/yyyy):
*
3. Father's City and Country of Birth:
*
4. Father's City and Country of Present Residence:
*
5. Mother's Name (MAIDEN NAME, First):
*
6. Mother's Date of Birth (mm/dd/yyyy):
*
7. Mother's City and Country of Birth:
*
8. Mother's City and Country of Present Residence:
*
9. Beneficiary's Residence for the last 5 years.
9(a). Beneficiary's Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
9(a)(i). Date (mm/yyyy) the Beneficiary started residing at the above address:
*
9(b). Previous Address 1:
*
Line 1
Line 2
City
State
Zip Code
Country
9(b)(i). Date Beneficiary's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
9(c). Previous Address 2:
*
Line 1
Line 2
City
State
Zip Code
Country
9(c)(i). Date Beneficiary's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
9(d). Previous Address 3:
*
Line 1
Line 2
City
State
Zip Code
Country
9(d)(i). Date Beneficiary's residence started and ended at the above address:
*
provide start date (mm/yyyy) and date (mm/yyyy)
10. Beneficiary's Employment for the last 5 years.
10(a). For the Beneficiary's Current or Latest Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
10(b). For the Beneficiary's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
10(c). For the Beneficiary's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
10(d). For the Petitioner's Prior and/or Concurrent Employment, provide the following: name of employer; address of employer; occupation/title; when employment began (mm/yyyy); and when employment ended (mm/yyyy), if applicable, otherwise, write "Present:"
*
Submit