Sample of form i 864a 2011-2026

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  1. Click ‘Get Form’ to open the sample of Form I-864A in the editor.
  2. Begin with Part 1, where the household member provides their information. Clearly state your relationship to the sponsor and check the appropriate boxes.
  3. In Part 2, the sponsor must complete their promise. Ensure that all required details about the intending immigrant are accurately listed.
  4. Move to Part 3, where the household member confirms their promise. Fill in any assets if applicable, ensuring you provide proof of ownership and value.
  5. Review all sections for accuracy. Print your name and sign at the designated areas to validate the form before submission.

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The following items must be submitted with Form I-864A: For ALL sponsors: A copy of your individual Federal income tax return, including W-2s for the most recent tax year, or a statement and/or evidence describing why you were not required to file.
Proper documentation, such as most recent federal tax returns, birth certificates, and proof of residence must be submitted to USCIS to prove the relationship and shared residence. The household members do not have to be US citizens or permanent residents.
Form I-864A must be submitted with Form I-864. Form I-864A may only be used when a sponsors income and assets do not meet the income requirements of Form I-864 and the qualifying household member chooses to combine his or her resources with the income and/or assets of a sponsor to meet the requirements.
Affidavit of Support Forms: I-864 (Affidavit of Support) I-864A (Contract Between Sponsor and Household Member) I-864EZ (Affidavit of Support for Cases Meeting Specific Criteria) I-864P (Poverty Guidelines)
If you have a joint sponsor, they must also complete Form I-864. If you are using the income of other household members to qualify, then each household member who is accepting legal responsibility for supporting your relative must complete a separate Form I-864A, Contract Between Sponsor and Household Member.

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