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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-751 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.
1. Complete Name of Conditional Resident Petitioner (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:
*
Write "N/A" if Petitioner is a US Citizen
11. Date of Expiration of Conditional Residence (mm/dd/yyyy):
*
12. U.S. Social Security Number, if any:
*
Write "N/A" if not applicable.
13. Date of Marriage (mm/dd/yyyy):
*
14. City and Country of Marriage:
*
15. Is the marriage through which you gained conditional residence still ongoing?
*
Yes
No
15(a). If no, provide the date of divorce or date of death of spouse (mm/dd/yyyy):
*
15(a)(i). If divorced or annulled, provide the place of termination of marriage with spouse/step-parent:
*
16. Information About Spouse or Step-parent Through Whom Applicant Gained Conditional Residence:
16(a). Complete Name of Spouse/Step-parent (LAST, First Middle):
*
Write "N/A" if not applicable.
16(b). Date of Birth of Spouse/Step-parent (mm/dd/yyyy):
*
16(c). Date (mm/dd/yyyy) and Place of Marriage of Spouse or Step-parent:
*
16(d): U.S. Social Security Number, if any:
*
16(e): A-Number:
*
Only applicable if petitioning spouse or step-parent is a Lawful Permanent Resident.
16(f). Present Address
*
Line 1
Line 2
City
State
Zip Code
Country
17. List all your children.
17(a). Child 1
17(a)(i). Complete Name (LAST, First, Middle):
*
17(a)(ii). Date of Birth (mm/dd/yyyy):
*
17(a)(iii). A-Number:
*
17(a)(iv). Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
17(a)(v). Is child living with Conditional Resident Petitioner?
*
Yes
No
17(a)(vi). Is child applying with Conditional Resident Petitioner?
*
Yes
No
17(b). Child 2
17(b)(i). Complete Name (LAST, First, Middle):
*
17(b)(ii). Date of Birth (mm/dd/yyyy):
*
17(b)(iii). A-Number:
*
17(b)(iv). Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
17(b)(v). Is child living with Conditional Resident Petitioner?
*
Yes
No
17(b)(vi). Is child applying with Conditional Resident Petitioner?
*
Yes
No
17(c). Child 3
17(c)(i). Complete Name (LAST, First, Middle):
*
17(c)(ii). Date of Birth (mm/dd/yyyy):
*
17(c)(iii). A-Number:
*
17(c)(iv). Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
17(c)(v). Is child living with Conditional Resident Petitioner?
*
Yes
No
17(c)(vi). Is child applying with Conditional Resident Petitioner?
*
Yes
No
17(d). Child 4
17(d)(i). Complete Name (LAST, First, Middle):
*
17(d)(ii). Date of Birth (mm/dd/yyyy):
*
17(d)(iii). A-Number:
*
17(d)(iv). Present Address:
*
Line 1
Line 2
City
State
Zip Code
Country
17(d)(v). Is child living with Conditional Resident Petitioner?
*
Yes
No
17(d)(vi). Is child applying with Conditional Resident Petitioner?
*
Yes
No
18. Check all that apply:
*
I am in removal, deportation, or rescission proceedings.
I have been arrested, detained, charged, indicted, fined, or imprisoned for breaking or violating any law or ordinance (excluding traffic regulations), or committed any crime which I was not arrested in the U.S. or abroad.
I am married but my present marriage is different from the one through which I acquired my conditional residence status.
I have resided at other addresses since becoming a conditional resident.
None of the above is applicable.
19. Check all that apply:
*
My spouse or parent's spouse is deceased.
I or my parent entered the marriage in good faith but the marriage was terminated through divorce or annulment.
I entered the marriage in good faith but during the marriage, I was battered or was subject of extreme cruelty by my U.S. Citizen or permanent resident spouse.
The termination of my status and removal from the U.S. would result in an extreme hardship.
None of the above is applicable.
Submit