This affidavit is executed on behalf of the following person. United states my a number is,8 d state 8 e zip code. Form i4 0219 page 1 of 8affidavit of support department of homeland security u. I am willing and able to maintain and support the person named above. If you check intend, indicate the exact nature and duration of the contributions. Enter the name of your fiance beneficiary and the date you mailed your i129f k1 fiance visa petition to uscis. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. The following individuals are required by law to submit a form i864, affidavit of support completed by the petitioner to obtain an immigrant visa or adjustment of status all immediate relatives of u. Do not use form i4 if the foreign nationals who you are sponsoring are required to have form i864 filed on their behalf instead. Form i 4 0219 page 1 of 8 affidavit of support department of homeland security u.
That i intend do not intend to make specific contributions to the support of the persons named in item 3. For this reason, it is not necessary to sign form i4 before a notary, nor to have your signature notarized after you sign it. May 04, 2012 on form i4, question 11, i intend, do not intend to make specific contributions to the support of the persons named in item 3. Use fill to complete blank online uscis dc pdf forms for free. Affidavit of support form i4 to abide by the immigration law that states that a person likely to become a public charge is admissible in the u. The way to complete the online affidavit of support philippines on the internet. Information about you the sponsor your full name 5.
Form i 4 affidavit of support is an uscis form for visa applicants with sponsorship. I am willing and able to receive, maintain, and support the persons named in. The petitioner must use form i864 affidavit of support under section 2a of the act for this purpose. Affidavit of support form sample edit, fill, sign online. A notary public is s omeone legally empowered to witness. Apr 26, 2018 form i4 is the affidavit of support thats used for temporary or nonimmigrant visitor visas. Hello everyone, i am wondering, whats the purpose of question 11 on i4, i intend do not intend to make specific contributions to the support of the persons named in item 3. Affidavit of support form north carolina edit, fill, sign. Download and create your own document with form i4, affidavit of support 32kb 2 pages for free. Affidavit of support form north carolina edit, fill. Form i4 0219 page 1 of 8 affidavit of support department of homeland security u.
Free download of form i 4 affidavit of support document available in pdf, oxps format. Pdf editor helps you edit your form fast and smart editing just like in microsoft word intelligent form recognition makes your pdf form fillable. Affidavit of support uscis form i4 department of homeland. Perhaps i am going a little braindead from the paperwork and maybe a little paranoid as well, but i am somewhat perplexed by this question on the i4 affidavit of support. To file an affidavit of support, you will be asked to show proof of your financial situation, including information about your bank accounts, assets and employment. Execution of affidavit if you are sponsoring more than one foreign national, you must submit a separate form i4 for each foreign national. Uscis form i4 sample affidavit for support pre filled. I am ready and willing to deposit a bond, ifnecessary, to. Government that the persons named in item 3 will not become a public charge in the united states. If you check intend, indicate the exact nature and duration of the. Fill free fillable form i4 affidavit of support pdf form. You will have to show that your income is at least 100 percent of the amounts listed in the federal poverty guidelines according to your family size and state of residence. Information about you the sponsor sponsors physical address your full name 5. I, sponsors n ame, pledge to provide my enter relation i.
I have attached an original bank letters on official stationary, or a certified true copy, in english, or accompanied by an official translation, indicating an exact. Assumptions this form is assumed to be filled by a person named anil gupta, working in florida for truvisa services, on h1b visa, and giving this i4 affidavit of support for his mother to visit usa as a tourist. Fill out, securely sign, print or email your affidavit of support philippine embassy thailand instantly with signnow. I864, affidavit of support under section 2a of the ina. Form i 94 arrival departure record number is,8 g postal code. This affidavit is made by me for the purpose of assuring the u. You leave the yesno boxes unchecked and your explanation is submitted in part 7 on page 8 of the new form. I was born on city country if you are not a native born united states citizen, answer the following as appropriate.
My us citizen fiance, hes confused about this, were gonna get married, were gonna share everything, theres not the exact amount. Form i4 116 n citizenship or residency or status if you are not a u. Fill online, printable, fillable, blank form i4 affidavit of support form. Citizenship and immigration services uscis form 1 4 omb no. Complete this block only if the person named in the item 3 will be in the united states temporarily. I, residing at name street and number zip code if in u. You have to fill i4, affidavit of support form, if you need to show that you can financially support your relatives or anyone else visiting the u. If a lawfully admitted nonimmigrant, give form i94, arrivaldeparture document, number. For this reason, it is not necessary to sign form i 4 before a notary, nor to have your signature notarized after you sign it. Form i4 affidavit of support is an uscis form for visa applicants with sponsorship. The i 4 affidavit of support form is used when you want to want to show and agree that you are ready to financially support any relative who is not an u.
File an affidavit of support, form i4 online fileright. Citizenship and immigration services uscis form 14 omb no. Of course, you will have to fill in your specific details and depending upon your. Form i4 is the undertaking prescribed in section 2 of the ina. How do i fill out the affidavit of support, fillable form i4. Form i 4 0219 page 1 of 8affidavit of support department of homeland security u.
In addition, each person who signs an affidavit of support as petitioner or endorsement must accompany proof of their american nationality or legal residence, such as. United states, executes an affidavit of support or similar. Citizenship and immigration services uscis form i4 omb no. If selfemployed, i have attached a copy of my last income tax return or report of commercial rating concern which i certify to be true and correct to the best of my knowledge. Affidavit of support form i 4 to abide by the immigration law that states that a person likely to become a public charge is admissible in the u. Use this form to sponsor a visa applicant and show they will not become public charges while in the united states. Under section 212 a 4 of the immigration and nationality act, the u. Uscis form i4 affidavit of support department of homeland security u. On form i4, question 11, i intend, do not intend to make specific contributions to the support of the persons named in item 3. Section 212a4 of the immigration and nationality act the act bars the admission into the united states any alien who. Form i 4 fill online, printable, fillable, blank pdffiller.
This page describes in detail how exactly to fill sample i4. If you dont have a printer that prints on 2 sides, first print on 2 pages and then make 12. Sample i4 affidavit of support form for visitors visa usa. Form i4 021914 y page 2 i derive an annual income of. Form i4 may be made available to any federal, state, or local agency that may receive an application from the persons named in item 3 for food stamps, supplemental security income, or temporary assistance to needy families. Affidavit of support philippines esign pdf with electronic. Form i4 is the affidavit of support thats used for temporary or nonimmigrant visitor visas. I have filed i129f, so i assumed that i will be taking care of my love for the rest of my life, for better or wors. Start a free trial now to save yourself time and money. You must file a separate affidavit for each applicant. Form i 4 021914 y page 2 i derive an annual income of. If youre visiting the us as a tourist, student, or. Form i4 affidavit of support for a returning resident sb1. A copy of an order from the appointing court or agency specifically permitting the legal guardian to make your income and assets available for the support of the sponsored immigrant.
Many people have questions or doubts about how exactly to fill the i4, affidavit of support form. You can find the edition date at the bottom of the page on the form and instructions. Filling out form i4 affidavit of support to help a u. The i4 affidavit of support form is used when you want to want to show and agree that you are ready to financially support any relative who is not an u. Citizenship and immigration services uscis form i 4 omb no. If youre visiting the us as a tourist, student, or for a short business trip, you may be. Use this stepbystep guideline to complete the affidavit of support philippine embassy thailand form swiftly and with ideal accuracy. In addition, the sponsor has to provide evidence that the applicant will not become a. The affidavit also has sections which make you take responsibility for the visiting person so that he does not become a public charge in the united. Affidavit of support using form i4 filing an affidavit of support form i4 is generally used to sponsor a visiting foreign national to enter the united states. While not absolutely mandatory, this form is highly recommended for sponsoring the visitors visa. This form proves that the applicant has sufficient financial ability to take care of himself without having to depend on the government for any aid. Tatiana romanova, with the amount being provided i.
That i intend do not intend, to make specific contributions to the support of the person named in item 3. Affidavit of support department of homeland security u. If you need extra space to complete any item within this affidavit, use the space provided. Once completed you can sign your fillable form or send for signing. Give the completed form and supporting documents to the immigrant you are sponsoring to file with their form of230 or form i485. Affidavit of support form north carolina free download. Free i4 affidavit of support form pdf form download. I am willing and able to receive, maintain, and support the persons named in item 3. You should use this form if you will be requesting an i20 form to obtain an f1 student visa or a ds2019 form for a j 1 visa. If a united states citizen through naturalization, give certificate of. Information, 11 d i am a lawful permanent resident of the 8 c city or town. Information about you the sponsor continued i derived my u.
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