usvisaoptions
Home
Attorney Profile
Visas
Nonimmigrant Visas
Immigrant Visas
Services
Immigration Links
Avoid Immigration Fraud
Pro Bono Program
Consultation
Legal Fees
Contact
1345 Avenue of the Americas, 2nd Floor
New York, NY 10105
ken garcia
attorney at law
_________________________________
Immigration & Nationality Law
FREE CONSULTATION
I-130/864/G325A 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 Spouse, Parent, Sibling or Lawful Permanent Resident Spouse or Parent)
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. A-Number, if any:
*
Write "N/A" if Petitioner is a US Citizen
11. U.S. Social Security Number, if any:
*
Write "N/A" if not applicable.
12. Information About Prior Spouse, if applicable:
12(a). Complete Name of Prior Spouse (LAST, First Middle):
*
Write "N/A" if not applicable.
12(b): Date of Birth of Prior Spouse (mm/dd/yyyy):
*
12(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:
*
13. If Petitioner is a US Citizen, how was citizenship acquired:
*
By Birth in the United States
Through Naturalization
Through Parents
13(a). If US Citizenship was acquired through naturalization, provide the following information: Certificate of Naturalization Number; Date of Naturalization; and Place of Naturalization.
*
14. Did the Petitioner gain permanent resident status through marriage to a US Citizen or Lawful Permanent Resident?
*
Yes
No
Not Applicable
15. Has the Petitioner ever filed a petition for this Beneficiary or any other alien?
*
Yes
No
15(a). If yes, provide the following information: name of alien petitioned; the date of filing; place of filing; and the result/status of such filing.
*
PART II. INFORMATION ABOUT THE BENEFICIARY (Foreign National Relative of Petitioner)
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. State/Province of Birth:
*
10. Country of Birth:
*
10. A-Number, if any:
*
11. U.S. Social Security Number, if any:
*
12. Information About Prior Spouse, if applicable:
12(a). Complete Name of Prior Spouse (LAST, First Middle):
*
12(b): Date of Birth of Prior Spouse (mm/dd/yyyy):
*
12(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:
*
13. Has the Beneficiary ever been in the US?
*
Yes
No
14. If the Beneficiary is currently in the United States, complete the following:
14(a). The Beneficiary arrived as a:
*
Tourist/Business Visitor
Student
Exchange Visitor
Crewman
Stowaway
Temporary Worker
Without Inspection
Other
14(a)(i). If "Other," please specify:
*
14(b). Date of Most Recent Arrival (mm/dd/yyyy):
*
Write "N/A" if not applicable.
14(c). Place of Most Recent Entry into the United States:
*
Write "N/A" if not applicable.
14(d). Passport Number:
*
14(e). Nonimmigrant Visa Number Information:
14(e)(i). Nonimmigrant Visa Number:
*
14(e)(ii). Date of Issuance of the Nonimmigrant Visa (mm/dd/yyyy):
*
14(e)(iii). Consulate Where Nonimmigrant Visa was Issued:
*
15. Name and Address of Beneficiary's Present Employer, if any:
*
15(a). Date this employment began, if applicable (mm/dd/yyyy or mm/yyyyy):
*
16. Has the Beneficiary been under immigration proceedings?
*
Yes
No
16(a). If Yes, specify details (where and when):
*
17. List all children, if any, of the Beneficiary by providing each child's complete name, date of birth and country of birth:
*
18. Complete Address in the United States where the Beneficiary intends to live:
*
Line 1
Line 2
City
State
Zip Code
Country
19. Complete Address of the Beneficiary Abroad:
*
Line 1
Line 2
City
State
Zip Code
Country
PART III. MISCELLANEOUS INFORMATION ABOUT THE PETITIONER:
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. Petitioner's Income Information:
9(a). Total Income for 2014:
*
refer to Line 22 of your IRS Form 1040
9(b). Total Income for 2013:
*
refer to Line 22 of your IRS Form 1040
9(c). Total Income for 2012:
*
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
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 (mm/yyyy) the Petitioner's residence started and ended at the above address:
*
provide start date (mm/yyyy) and end date (mm/yyyy)
11(c). Previous Address 2:
*
Line 1
Line 2
City
State
Zip Code
Country
11(c)(i). Date (mm/yyyy) the 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 (mm/yyyy) the 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 (mm/yyyy) the 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 (mm/yyyy) the 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 (mm/yyyy) the 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