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Part 2. Your (the Household Member's) Relationship to the Sponsor. Select Item Number 1.a., 1.b., or 1.c. a. I am the intending immigrant and also the sponsor's spouse. b. I am the intending immigrant and also a member of the sponsor's household. c. I am not the intending immigrant.
I-864A, Contract Between Sponsor and Household Member. Use this form if you are a household member and want to promise to make your income and/or assets available to help support a sponsored immigrant.
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Afidavit of Support Under Section 213A of the INA. A separate Form I-864A must be used for each household member whose income and/or assets are being used by a sponsor to qualify.
USCIS. Form I-864A. OMB No. 1615-0075 Expires 03/31/2020. For Government Use Only. This Form I-864A relates to a household member who: IS the intending immigrant. IS NOT the intending immigrant. Select this box if Form G-28 or. Reviewed By: Location: To be completed by an attorney or accredited representative (if any). Date (mm/dd/yyyy):
the Form I-864 I executed and on this Form I-864A applies for a means-tested public benefit, including Medicaid, the Children's Health Insurance Program, Temporary Assistance to
section of the Form I-864A Instructions before completing this part. I, THE SPONSOR, in consideration of the household member's promise to support the following intending immigrants and to be jointly and severally liable for any obligations I incur under the affidavit of support, promise to complete and file an affidavit of support on
section of the Form I-864A Instructions before completing this part. Promise to provide any and all financial support necessary to assist the sponsor in maintaining the sponsored immigrants at or above the minimum income provided for in section 213A(a)(1)(A) of the Immigration and Naturalization Act (INA) (not less
Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support Under Section 213A of the Immigration and Nationality Act. It is an optional form, completed and signed by two individuals: a sponsor who is completing Form I-864, and a household member who is promising to make his or her
form is true and correct to the best of my knowledge and belief and that the Federal income tax returns submitted in support of the contract are true copies or unaltered tax transcripts filed with the Internal Revenue Service. Form I-864A (03/22/13) Y Page 3. For Government Use Only. 13. I, THE SPONSOR, (Print Name) b. c. d. a. U.S. Social ...
Government with his or her application for an immigrant visa or adjustment of status, under INA section 213A, these actions create a contract between you and the U.S. Government. The intending immigrant becoming a lawful permanent resident is the consideration for the contract.