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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
AFFIDAVIT OF SUPPORT 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.
INFORMATION ABOUT THE SPONSOR
1. Complete Name (LAST, First, Middle):
*
2. Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
3. Daytime Phone Number:
*
4. Mobile Phone Number:
*
5. Email:
*
6. Date of Birth (mm/dd/yyyy):
*
7. City of Birth:
*
8. Country of Birth:
*
9. Sponsor is a:
*
U.S. Citizen
Lawful Permanent Resident (Green Card Holder)
10. If Sponsor is a U.S. Citizen, citizenship was acquired:
*
By birth
By naturalization
10(a). If by naturalization, give the Certificate of Naturalization Number:
*
Write "N/A" if not applicable.
11. If Sponsor is a Lawful Permanent Resident, provide the following:
11(a). A-Number:
*
Write "N/A" if not applicable.
11(b). Permanent Resident since (mm/dd/yyyy):
*
Write "N/A" if not applicable.
12. The Sponsor has resided in the United States since (mm/dd/yyyy or mm/yyyy):
*
Write "N/A" if not applicable.
13. Occupation/Profession:
*
Write "N/A" if not applicable.
14. Sponsor's Current Employer:
*
15. Address of Current Employer:
*
16. Sponsor's Annual Gross Income:
*
If you cannot provide the exact date of filing, the approximate year of filing will be sufficient.
17. Deposit in US savings banks, if any:
*
18. Life insurance, if any, in the sum of:
*
19. Location of Sponsor's real estate, if any:
*
20. If Sponsor has real estate, indicate the mortgage(s) or other encumbrance of said real estate, if any:
*
21. Has the Sponsor ever executed an Affidavit of Support on behalf of a foreign national before?
*
Yes
No
21(a). If Yes, give the name of the previously sponsored alien, your relationship to said alien and the date the affidavit of support was submitted (mm/dd/yyyy or mm/yyyy):
*
22. Are there dependents relying on the Sponsor for support:
*
Yes
No
22(a). If Yes, give the name of the dependent, age and relationship to Sponsor:
*
23. Has the Sponsor submitted a visa petition to the USCIS on behalf of any other alien?
*
Yes
No
23(a). If Yes, give the name of the previously sponsored alien, your relationship to said alien and the date the petition was submitted (mm/dd/yyyy or mm/yyyy):
*
Submit