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-864 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 Affidavit of Support.
INFORMATION ABOUT THE SPONSOR:
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 or Province of Birth:
*
10. Country of Birth:
*
11. U.S. Social Security Number:
*
If you do not want to submit your SS Number over the internet for security reasons, you can leave this entry blank and I will collect the data in some other method.
12. A-Number, if any:
*
Write "N/A" if Petitioner is a US Citizen
13. Citizenship or Residency:
*
U.S. Citizen
U.S. National
Lawful Permanent Resident
14. If the Sponsor is also the Petitioner in the family-based immigrant petition, is the petitioner-sponsor currently on active duty in the U.S. Armed Forces or U.S. Coast Guard?
*
Yes
No
Not Applicable
15. Is the Sponsor married?
*
Yes
No
16. How many dependent children does the Sponsor have, if any?
*
Write "N/A" if not applicable.
17. Has the Sponsor filed a Form I-864, Affidavit of Support, for any other person?
*
Yes
No
17(a). If "Yes," how many Affidavits of Support were submitted to USCIS?
*
1
2
3
18. Employment Status:
*
Employed
Self-employed
Retired
Unemployed
18(a). If employed, state name of current employer:
*
18(a)(i). If employed, state the Sponsor's title/position:
*
18(b). If self-employed, state occupation:
*
18(c). If retired, state the name of company retired from:
*
18(c)(i). Date of Retirement (mm/dd/yyyy):
*
18(d). If unemployed, date when unemployment began (mm/dd/yyyy):
*
19. Current individual annual income:
*
Your total income from January 2016 to the present.
20. Petitioner's Income Information:
20(a). Total Income for 2016:
*
refer to line for total income of your IRS Form 1040/1040A or line for adjusted gross income for IRS Form 1040EZ
20(b). Total Income for 2015:
*
refer to line for total income of your IRS Form 1040/1040A or line for adjusted gross income for IRS Form 1040EZ
20(c). Total Income for 2014:
*
refer to line for total income of your IRS Form 1040/1040A or line for adjusted gross income for IRS Form 1040EZ
Submit