Blank USCIS I-864 PDF Form

Blank USCIS I-864 PDF Form

The USCIS I-864 form, also known as the Affidavit of Support, is a crucial document required for certain immigration processes in the United States. This form demonstrates that a sponsor has the financial means to support an immigrant, ensuring they do not become reliant on public assistance. Understanding how to accurately complete the I-864 is essential for both sponsors and applicants.

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The USCIS I-864 form, also known as the Affidavit of Support, plays a crucial role in the immigration process for many individuals seeking to bring family members to the United States. This form is designed to demonstrate that the sponsor has the financial means to support the immigrant, ensuring that they will not become a public charge. It requires the sponsor to provide detailed information about their income, assets, and household size, along with evidence of their financial stability. The I-864 form is not just a bureaucratic requirement; it serves to protect both the immigrant and the U.S. government by ensuring that the immigrant has adequate financial backing. Sponsors must also be U.S. citizens or lawful permanent residents and meet specific income thresholds, which are generally set at 125% of the federal poverty guidelines. This process can seem daunting, but understanding the major components of the I-864 form is essential for anyone looking to navigate the immigration system effectively.

Document Sample

 

 

 

Affidavit of Support Under Section 213A of the INA

 

 

USCIS

 

 

 

 

Department of Homeland Security

 

 

 

 

 

 

 

Form I-864

 

 

 

 

 

 

 

 

 

 

OMB No. 1615-0075

 

 

 

U.S. Citizenship and Immigration Services

 

Expires 10/31/2027

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Affidavit of Support Submitter

 

 

 

 

Section 213A Review

Number of Support Affidavits in File

For

Petitioner

 

 

MEETS

DOES NOT MEET

1

 

2

 

 

 

 

1st Joint Sponsor

 

requirements

requirements

 

 

 

 

 

 

 

 

 

 

 

 

 

USCIS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Remarks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use

2nd Joint Sponsor

Reviewed By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Only

Substitute Sponsor

Office:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5% Owner

 

Date (mm/dd/yyyy):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To be completed by an

 

Select this box if

 

 

Attorney State Bar Number

 

Attorney or Accredited Representative

 

Form G-28 or

 

 

 

(if applicable)

 

 

 

USCIS Online Account Number (if any)

Attorney or Accredited

 

 

 

 

 

 

 

 

G-28I is attached.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Representative (if any).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START HERE - Type or print in black ink.

Part 1. Basis For Filing Affidavit of Support

I am the sponsor submitting this affidavit of support because (Select only one box).

1.a. I am the petitioner. I filed or am filing for the immigration of my relative.

1.b.

1.c.

1.d.

1.e.

1.f.

I filed an alien worker petition on behalf of the intending immigrant,who is related to me as my

I have an ownership interest of at least 5 percent in

which filed an alien worker petition on behalf of the intending immigrant, who is related to me as my

I am the only joint sponsor.

I am the first second of two joint sponsors.

The original petitioner is deceased. I am the substitute sponsor. I am the intending immigrant's

NOTE: As a sponsor, you must include proof of your U.S. citizenship, U.S. national status, or lawful permanent resident status.

Part 2. Information About You (Sponsor)

1.Sponsor's Full Legal Name (Do not provide a nickname)

Family Name (Last Name)

 

Given Name (First Name)

 

Middle Name (if applicable)

 

 

 

 

 

Form I-864 Edition 10/17/24

Page 1 of 12

 

Part 2. Information About You (Sponsor) (continued)

2.Sponsor's Current Mailing Address In Care Of Name (if any)

 

Street Number and Name

 

 

 

 

 

Apt. Ste. Flr.

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

City or Town

 

 

 

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Province

 

Postal Code

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Is your current mailing address the same as your physical address?

 

 

 

 

 

Yes

No

 

If you answered "No" to Item Number 3., provide your physical address in Item Number 4.

 

 

4.Sponsor's Physical Address (if different from the address above)

Street Number and Name

 

 

 

 

Apt. Ste. Flr.

Number

 

 

 

 

 

 

 

 

 

City or Town

 

 

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

Province

Postal Code

 

Country

 

 

 

 

 

 

 

 

 

 

Other Information

5.

Country of Domicile

6.

Date of Birth (mm/dd/yyyy) 7.

Country of Birth

 

 

 

 

 

 

8.U.S. Social Security Number (Required)

9.Immigration Status

I am a U.S. citizen.

I am a U.S. national.

I am a lawful permanent resident.

10.Sponsor's A-Number (if any)

A-

11.USCIS Online Account Number (if any)

Military Service (To be completed by petitioner sponsors only.)

 

 

12. I am currently on active duty in the United States Armed Forces or U.S. Coast Guard.

Yes

No

Form I-864 Edition 10/17/24

Page 2 of 12

 

Part 3. Information About the Principal Immigrant

1.Principal Immigrant's Full Legal Name (Do not provide a nickname)

Family Name (Last Name)

 

Given Name (First Name)

 

Middle Name (if applicable)

 

 

 

 

 

2.Current Mailing Address In Care Of Name (if any)

Street Number and Name

City or Town

Apt. Ste. Flr. Number

State

 

ZIP Code

 

 

 

Province

 

Postal Code

 

Country

 

 

 

 

 

Other Information

3.Country of Citizenship or Nationality

5.Alien Registration Number (A-Number) (if any)

A-

7.Daytime Telephone Number

4.Date of Birth (mm/dd/yyyy)

6.USCIS Online Account Number (if any)

Part 4. Information About the Immigrants You Are Sponsoring

1.I am sponsoring the principal immigrant named in Part 3.

2.

Yes

No, I am sponsoring family members in Part 4. as the second joint sponsor or I am sponsoring family members

 

who are immigrating more than six months after the principal immigrant.

I am sponsoring the following family members immigrating at the same time or within six months of the principal immigrant named in Part 3. (List family members in Item Numbers 4. - 7. Do not include any relative listed on a separate visa petition.)

3.

I am sponsoring the following family members who are immigrating more than six months after the principal immigrant. (List family members in Item Numbers 4. - 7.)

4. Family Member 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name (Last Name)

 

Given Name (First Name)

 

 

 

 

Middle Name (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Principal Immigrant

 

Date of Birth (mm/dd/yyyy) Alien Registration Number (A-Number, if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USCIS Online Account Number (if any) ►

Form I-864 Edition 10/17/24

Page 3 of 12

 

Part 4. Information About the Immigrants You Are Sponsoring (continued)

5.

Family Member 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name (Last Name)

 

Given Name (First Name)

 

 

 

 

 

Middle Name (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Principal Immigrant

 

Date of Birth (mm/dd/yyyy)

Alien Registration Number (A-Number, if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USCIS Online Account Number (if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Family Member 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name (Last Name)

 

Given Name (First Name)

 

 

 

 

 

Middle Name (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Principal Immigrant

 

Date of Birth (mm/dd/yyyy)

Alien Registration Number (A-Number, if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USCIS Online Account Number (if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Family Member 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family Name (Last Name)

 

Given Name (First Name)

 

 

 

 

 

Middle Name (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to Principal Immigrant

 

Date of Birth (mm/dd/yyyy) Alien Registration Number (A-Number, if any)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USCIS Online Account Number (if any) ►

If you need additional space, use the space provided in Part 11. Additional Information.

Form I-864 Edition 10/17/24

Page 4 of 12

 

For

USCIS

Use

Only

Part 5. Sponsor's Household Size

NOTE: Do not count any member of your household more than once.

Persons you are sponsoring in this affidavit:

1.Enter the total number of immigrants you are sponsoring on this affidavit which includes the principal immigrant listed in Part 3., any immigrants listed in Part 4., Item Numbers 4. - 7. and, any additional sponsored immigrants you listed in Part 11. Additional Information. Do not count the principal immigrant if you are only sponsoring family members entering more than six months after the principal immigrant.

Persons NOT sponsored in this affidavit:

2.Yourself.

3.If you are currently married, enter "1" for your spouse. (NOTE: Enter “0” if you already counted your spouse in Item Number 1.)

4.If you have dependent children, enter the number here. (NOTE: Enter “0” if you already counted your dependent children in Item Number 1.)

5.If you have any other dependents, enter the number here. (NOTE: Enter “0” if you already counted your other dependents in Item Number 1.)

6.If you have sponsored any other persons on Form I-864 or Form I-864EZ who are now lawful permanent residents and you are still obligated to support, enter the number here. (NOTE: Enter “0” if you already counted these persons in Item Number 1.)

7.If you have siblings, parents, or adult children with the same principal residence who are combining their income with yours by submitting Form I-864A, enter the number here. (NOTE: Enter “0” if you already counted these persons in Item Number 1.)

8.Add together Part 5., Item Numbers 1. - 7. and enter the number here.

Household Size:

1

Part 6. Sponsor's Employment and Income

I am currently:

 

 

1.

Employed as a/an

 

 

 

 

2.

Name of Employer 1

 

 

 

 

 

 

3.

Name of Employer 2 (if applicable)

 

 

 

 

 

 

4.

Self-Employed as a/an (Occupation)

 

 

 

 

 

 

5.

Retired Since (mm/dd/yyyy)

 

 

 

 

 

 

6.

Unemployed Since (mm/dd/yyyy)

 

 

 

 

 

 

7.

My current individual annual income is:

$

 

 

 

 

 

 

 

Income you are using from any other person who was counted in your household size, including, in certain conditions, the intending immigrant. (See Form I-864 Instructions.) Please indicate name, relationship, and income.

Form I-864 Edition 10/17/24

Page 5 of 12

 

For

USCIS

Use

Only

Part 6. Sponsor's Employment and Income (continued)

8.Person 1

Name

 

 

 

 

Relationship

 

 

 

 

 

 

Current Income

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.Person 2

Name

 

 

 

 

Relationship

 

 

 

 

 

 

Current Income

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.Person 3

Name

 

 

 

 

Relationship

 

 

 

 

 

 

Current Income

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.Person 4

Name

 

 

 

 

Relationship

 

 

 

 

 

 

Current Income

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you need additional space, use the space provided in Part 11. Additional Information

Remarks

 

12. My Current Annual Household Income (Total all lines from Part 6. Item Numbers 7. - 11.;

$

the total will be compared to Federal Poverty Guidelines on Form I-864P.)

 

13.

14.

The people listed in Item Numbers 8. - 11. have completed Form I-864A. I am filing along with this affidavit all necessary Form I-864As completed by these people.

One or more of the people listed in Item Numbers 8. - 11. do not need to complete Form I-864A because he or she is the intending immigrant and has no accompanying dependents.

Federal Tax Return Information

15. Have you filed a Federal income tax return for each of the three most recent tax years?

Yes

No

NOTE: You MUST attach a photocopy or transcript of your Federal income tax return for only the most recent tax year and complete Item Number 16.a. If you believe additional returns may help you to establish your ability to maintain sufficient income, you may submit transcripts or photocopies of your Federal individual income tax returns for the three most recent years and complete

Item Numbers 16.a. - 16.c.

Type or print the most recent tax year and your total income for that most recent tax year. If the amount was zero, type or print “zero” or if you were not required to file a Federal income tax return type or print “N/A” for not applicable. Type or print “N/A” for not applicable for Item Numbers 16.b. - 16.c. if you do are not submitting any additional tax returns.

Form I-864 Edition 10/17/24

Page 6 of 12

 

For

USCIS

Use

Only

Part 6. Sponsor's Employment and Income (continued)

My total income (adjusted gross income on IRS Form 1040EZ) as reported on my Federal income tax returns for the most recent year was:

16.a. Most Recent 16.b. 2nd Most Recent 16.c. 3rd Most Recent

Tax Year

 

Total Income

 

$

 

 

$

 

 

 

 

$

 

 

 

 

 

 

17.I was not required to file a Federal income tax return as my income was below the IRS required level and I have attached evidence to support this.

 

Household Size

 

 

Poverty Guideline

Sponsor's Household Income

Remarks

For

1

2

3

 

 

Year:

2 0

 

 

(Page 5, Line 10)

 

 

 

 

 

 

 

USCIS

4

5

6

 

 

 

 

$

 

 

 

 

Use

 

 

 

 

 

 

 

7

8

9

 

 

Poverty Line:

The total value of all assets, line 10, must equal 5 times (3 times for spouses and children of

Only

 

 

 

$

 

 

 

 

USCs, or 1 time for orphans to be formally adopted in the U.S.) the difference between the

 

Other

 

 

 

 

 

 

 

poverty guidelines and the sponsor's household income, line 10.

 

 

 

 

 

 

 

 

 

 

 

 

Part 7. Use of Assets to Supplement Income (if Applicable)

If your income, or the total income for you and your household, from Part 6., Item Numbers 12. or 16. exceeds the Federal Poverty Guidelines for your household size, YOU ARE NOT REQUIRED to complete this Part 7. Skip to Part 8.

Your Assets (if applicable)

 

1.

Enter the balance of all cash, savings, and checking accounts.

$

2.

Enter the net cash value of real-estate holdings. (Net value means assessed value minus mortgage

$

 

debt.) $

 

3.Enter the net cash value of all stocks, bonds, certificates of deposit, and any other assets not already included in Item Number 1. or Item Number 2.

4.Add together Item Numbers 1. - 3. and enter the number here.

Assets of your household members (if applicable)

$

$

Your household members who are combining their income with yours, report their assets on Form I-864A Part 4., in Item Number 6.

5. Add together the household members' assets reported on all the Form I-864A

TOTAL: $

Part 4., Item Number 6. and enter the number here.

 

Form I-864 Edition 10/17/24

Page 7 of 12

 

Part 7. Use of Assets to Supplement Income (if Applicable) (continued)

Assets of the principal sponsored immigrant (if applicable).

The principal sponsored immigrant is the person listed in Part 3., Item Number 1. Only include the assets if the principal immigrant is being sponsored by this affidavit of support.

6.

Enter the balance of the principal immigrant's savings and checking accounts.

 

$

 

 

 

7.

Enter the net cash value of all the principal immigrant's real estate holdings. (Net value means

$

 

investment value minus mortgage debt.)

 

 

 

 

8.

Enter the current cash value of the principal immigrant's stocks, bonds, certificates of deposit, and

$

 

other assets not included in Item Number 6. or Item Number 7.

 

 

 

 

9.

Add together Item Numbers 6. - 8. and enter the number here.

 

$

 

 

 

Total Value of Assets

 

 

10.

Add together Item Numbers 4., 5., and 9. and enter the number here.

TOTAL: $

 

 

Part 8. Sponsor's Contract, Contact Information, Certification, and Signature

NOTE: Read the Penalties section of the Form I-864 Instructions before completing this part.

Sponsor's Contract

Please note that, by signing this Form I-864, you agree to assume certain specific obligations under the Immigration and Nationality Act (INA) and other Federal laws. The following paragraphs describe those obligations. Please read the following information carefully before you sign Form I-864. If you do not understand the obligations, you may wish to consult an attorney or accredited representative.

What is the Legal Effect of My Signing Form I-864?

If you sign Form I-864 on behalf of any person (called the intending immigrant) who is applying for an immigrant visa or for adjustment of status to a lawful permanent resident, and that intending immigrant submits Form I-864 to the U.S. 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.

Under this contract, you agree that, in deciding whether the intending immigrant can establish that he or she is not inadmissible to the United States as a person likely to become a public charge, the U.S. Government can consider your income and assets as available for the support of the intending immigrant.

What If I Choose Not to Sign Form I-864?

The U.S. Government cannot make you sign Form 1-864 if you do not want to do so. But if you do not sign Form I-864, the intending immigrant may not become a lawful permanent resident in the United States.

What Does Signing Form I-864 Require Me To Do?

If an intending immigrant becomes a lawful permanent resident in the United States based on a Form I-864 that you have signed, then, until your obligations under Form I-864 terminate, you must:

A.Provide the intending immigrant any support necessary to maintain him or her at an income that is at least 125 percent of the Federal Poverty Guidelines for his or her household size (100 percent if you are the petitioning sponsor and are on active duty in the U.S. Armed Forces or U.S. Coast Guard, and the person is your husband, wife, or unmarried child under 21 years of age); and

B.Notify U.S. Citizenship and Immigration Services (USCIS) of any change in your address, within 30 days of the change, by filing Form I-865.

Form I-864 Edition 10/17/24

Page 8 of 12

 

Part 8. Sponsor's Contract, Contact Information, Certification, and Signature (continued)

What Other Consequences Are There?

If an intending immigrant becomes a lawful permanent resident in the United States based on a Form I-864 that you have signed, then, until your obligations under Form I-864 terminate, the U.S. Government may consider (deem) your income and assets as available to that person, in determining whether he or she is eligible for certain Federal means-tested public benefits and also for state or local means-tested public benefits, if the state or local government's rules provide for consideration (deeming) of your income and assets as available to the person.

This provision does not apply to public benefits specified in section 403(c) of the Welfare Reform Act such as emergency Medicaid, short-term, non-cash emergency relief; services provided under the National School Lunch and Child Nutrition Acts; immunizations and testing and treatment for communicable diseases; and means-tested programs under the Elementary and Secondary Education Act.

What If I Do Not Fulfill My Obligations?

If you do not provide sufficient support to the person who becomes a lawful permanent resident based on a Form I-864 that you signed, that person may sue you for this support.

If a Federal, state, local, or private agency provided any covered means-tested public benefit to the person who becomes a lawful permanent resident based on a Form I-864 that you signed, the agency may ask you to reimburse them for the amount of the benefits they provided. If you do not make the reimbursement, the agency may sue you for the amount that the agency believes you owe.

If you are sued, and the court enters a judgment against you, the person or agency that sued you may use any legally permitted procedures for enforcing or collecting the judgment. You may also be required to pay the costs of collection, including attorney fees.

If you do not file a properly completed Form I-865 within 30 days of any change of address, USCIS may impose a civil fine for your failing to do so.

When Will These Obligations End?

Your obligations under a Form I-864 that you signed will end if the person who becomes a lawful permanent resident based on that affidavit:

A.Becomes a U.S. citizen;

B.Has worked, or can receive credit for, 40 quarters of coverage under the Social Security Act;

C.No longer has lawful permanent resident status and has departed the United States;

D.Is subject to removal, but applies for and obtains, in removal proceedings, a new grant of adjustment of status, based on a new affidavit of support, if one is required; or

E.Dies.

NOTE: Divorce does not terminate your obligations under Form I-864.

Your obligations under a Form I-864 that you signed also end if you die. Therefore, if you die, your estate is not required to take responsibility for the person's support after your death. However, your estate may owe any support that you accumulated before you died.

NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.

Form I-864 Edition 10/17/24

Page 9 of 12

 

Part 8. Sponsor's Contract, Contact Information, Certification, and Signature (continued)

Sponsor's Statement

1.Sponsor's Statement Regarding the Interpreter

A.

B.

I can read and understand English, and I have read and understand every question and instruction on this affidavit and my answer to every question.

The interpreter named in Part 9. read to me every question and instruction on this affidavit and my answer to every

question in

 

, a language in which I am fluent, and I understood

everything.

 

 

 

 

2. At my request, the preparer named in Part 10.,

for me based only upon information I provided or authorized.

Sponsor's Contact Information

, prepared this affidavit

3.

Sponsor's Daytime Telephone Number

4.

Sponsor's Mobile Telephone Number (if any)

 

 

 

 

5.Sponsor's Email Address (if any)

Sponsor's Declaration and Certification

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS or the U.S. Department of State (DOS) may require that I submit original documents to USCIS or DOS at a later date. Furthermore, I authorize the release of any information from any of my records that USCIS or DOS may need to determine my eligibility for the immigration benefit I seek.

I furthermore authorize release of information contained in this affidavit, in supporting documents, and in my USCIS or DOS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration law.

I certify, under penalty of perjury, that all of the information in my affidavit and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my affidavit, and that all of this information is complete, true, and correct.

A.I know the contents of this affidavit of support that I signed;

B.I have read and I understand each of the obligations described in Part 8., and I agree, freely and without any mental reservation or purpose of evasion, to accept each of those obligations in order to make it possible for the immigrant indicated in Part 3. to become a lawful permanent resident of the United States;

C.I agree to submit to the personal jurisdiction of any Federal or state court that has subject matter jurisdiction of a lawsuit against me to enforce my obligations under this Form I-864EZ;

D.Each of the Federal income tax returns submitted in support of this affidavit are true copies, or are unaltered tax transcripts, of the tax returns I filed with the IRS;

E.I understand that, if I am related to the sponsored immigrant by marriage, the termination of the marriage (by divorce, dissolution, annulment, or other legal process) will not relieve me of my obligations under this Form I-864EZ; and

F.I authorize the Social Security Administration to release information about me in its records to the USCIS and DOS.

Sponsor's Signature

6.

Sponsor's Signature

 

Date of Signature (mm/dd/yyyy)

 

 

 

 

NOTE TO ALL SPONSORS: If you do not completely fill out this affidavit or fail to submit required documents listed in the Instructions, USCIS or DOS may deny your request.

Form I-864 Edition 10/17/24

Page 10 of 12

 

File Specifics

Fact Name Details
Purpose The I-864 form, also known as the Affidavit of Support, is used to demonstrate that a sponsor can financially support an immigrant.
Eligibility U.S. citizens and lawful permanent residents can serve as sponsors by completing the I-864 form.
Income Requirement The sponsor must show an income that is at least 125% of the Federal Poverty Guidelines for their household size.
Joint Sponsors If the primary sponsor does not meet the income requirement, they can enlist a joint sponsor to help meet the financial threshold.
Legal Obligations By signing the I-864, the sponsor agrees to support the immigrant financially, ensuring they do not become a public charge.
Duration of Support The obligation to support lasts until the immigrant becomes a U.S. citizen, can be credited with 40 quarters of work, or dies.
State-Specific Forms No state-specific forms exist for the I-864; it is governed by federal law under the Immigration and Nationality Act.
Submission The completed I-864 form must be submitted to USCIS along with the immigrant's visa application.
Supporting Documents Along with the I-864, sponsors must provide proof of income, such as tax returns and pay stubs.
Common Mistakes Common errors include incorrect income calculations and missing required documentation, which can delay processing.

How to Use USCIS I-864

Once you have gathered the necessary documents and information, you can begin filling out the USCIS I-864 form. This form is essential for those sponsoring an immigrant and requires careful attention to detail. Follow these steps to ensure accuracy and completeness.

  1. Start by downloading the latest version of the USCIS I-864 form from the official USCIS website.
  2. Read the instructions provided with the form carefully before filling it out.
  3. In Section 1, provide your full name, mailing address, and contact information.
  4. In Section 2, indicate your relationship to the immigrant you are sponsoring.
  5. Section 3 requires you to disclose your income. Include your total annual income and attach supporting documents, such as tax returns or pay stubs.
  6. In Section 4, list any dependents you have. This includes children or others who rely on your income.
  7. Complete Section 5 by providing information about your employment. Include your employer's name, address, and your job title.
  8. In Section 6, detail any assets you own, such as property or savings accounts, that could support the immigrant.
  9. Section 7 asks for information about any other sponsors. If applicable, provide their details.
  10. Review the form thoroughly to ensure all information is accurate and complete.
  11. Sign and date the form at the end. Make sure to include your printed name beneath your signature.
  12. Prepare to submit the form along with any required supporting documents and the appropriate filing fee.

After completing the form, ensure that you keep a copy for your records. This will be important for future reference. Once submitted, you will await further instructions from USCIS regarding the next steps in the immigration process.

Your Questions, Answered

What is the USCIS I-864 form?

The USCIS I-864 form, also known as the Affidavit of Support, is a legal document that a sponsor must complete when a foreign national is applying for a visa or green card. This form demonstrates that the sponsor has adequate income or financial resources to support the applicant, ensuring that they will not become a public charge in the United States.

Who needs to submit the I-864 form?

The I-864 form is typically required for family-based immigration cases. If you are sponsoring a relative for a green card, such as a spouse, child, or parent, you will need to submit this form. It may also be required for certain employment-based immigration cases where the applicant is related to the sponsor.

What are the income requirements for the I-864 form?

To qualify as a sponsor, your income must meet or exceed 125% of the Federal Poverty Guidelines for your household size. If you are active duty military and sponsoring a spouse or child, the requirement is 100% of the guidelines. The specific income thresholds can change annually, so it’s important to check the current guidelines on the USCIS website.

What documents do I need to submit with the I-864 form?

When submitting the I-864 form, you should include:

  1. Your most recent tax return (Form 1040).
  2. W-2 forms or 1099s for the last year.
  3. Proof of current employment, such as a pay stub or employment verification letter.
  4. Evidence of any additional income, if applicable.

Providing these documents helps establish your financial capability to support the applicant.

Can I use assets to meet the income requirement?

Yes, you can use assets to supplement your income if it falls short of the required amount. The total value of your assets must equal five times the difference between your income and the required level. Acceptable assets can include savings accounts, stocks, bonds, or real estate. Make sure to provide documentation proving the value of these assets.

What if I don’t meet the income requirements?

If you do not meet the income requirements, you have a few options. You can find a joint sponsor who meets the income criteria and is willing to sign a separate I-864 form. Alternatively, you can demonstrate that you have sufficient assets to support the applicant, as mentioned earlier. Another option is to provide evidence of a steady income increase or a job offer that will raise your income.

How long does the I-864 form last?

The obligations under the I-864 form last until the sponsored immigrant becomes a U.S. citizen, has worked for 40 quarters (approximately 10 years) in the U.S., or leaves the country permanently. It’s important to understand that you are legally responsible for supporting the immigrant during this time.

What happens if I fail to support the immigrant?

If you fail to meet your obligations under the I-864 form, the sponsored immigrant may seek financial support through the courts. This could result in legal action against you to recover any government benefits the immigrant received. It’s crucial to take this responsibility seriously and ensure you can support the individual you are sponsoring.

Can I withdraw my I-864 form after it has been submitted?

Once the I-864 form has been submitted and accepted, you cannot withdraw it. However, if circumstances change, such as a divorce or the sponsored immigrant’s death, you may be able to terminate your support obligations. It’s advisable to consult with an immigration attorney in such cases to understand your options.

Where can I find the I-864 form and instructions?

You can find the I-864 form and its instructions on the official USCIS website. It’s important to use the most current version of the form to ensure your application is processed smoothly. The website also provides additional resources and guidance to help you complete the form correctly.

Common mistakes

  1. Not providing accurate income information. Many individuals underestimate or overestimate their income, which can lead to complications in the application process.

  2. Failing to include all required household members. It is crucial to list all individuals who live in the household and contribute to the income.

  3. Omitting necessary supporting documents. Applicants often forget to attach proof of income, such as tax returns or pay stubs, which are essential for verifying financial stability.

  4. Neglecting to sign and date the form. A missing signature can result in delays or even denials of the application.

  5. Using outdated versions of the form. Always check for the most current version of the I-864 form on the USCIS website to avoid any issues.

Documents used along the form

The USCIS I-864 form, also known as the Affidavit of Support, is a crucial document for individuals seeking to sponsor a relative for a green card. However, it is often accompanied by several other forms and documents that help establish the sponsor's ability to support the applicant financially. Below are five important forms and documents commonly used alongside the I-864.

  • Form I-130: This is the Petition for Alien Relative. It is filed by the U.S. citizen or permanent resident to establish the relationship with the foreign relative seeking immigration.
  • Form I-485: Known as the Application to Register Permanent Residence or Adjust Status, this form is used by individuals already in the U.S. to apply for a green card.
  • Form I-864A: This is the Contract Between Sponsor and Household Member. It is used when a household member contributes income or assets to help meet the financial requirements of the I-864.
  • Form I-864EZ: This is a simplified version of the I-864 form. It can be used by sponsors who meet specific criteria, making the process easier for those with straightforward financial situations.
  • Tax Returns and W-2 Forms: Sponsors must provide copies of their most recent tax returns and W-2 forms to demonstrate their income and financial stability.

Understanding these accompanying forms and documents can help streamline the immigration process. Proper preparation ensures that all necessary information is submitted, reducing the likelihood of delays or complications.

Similar forms

The USCIS I-864 form, also known as the Affidavit of Support, is similar to the I-134 form. Both documents are used to demonstrate financial support for a visa applicant. However, the I-134 is typically used for non-immigrant visas, while the I-864 is specifically for immigrants seeking permanent residency. The I-134 requires the sponsor to prove their ability to support the applicant, but it does not create a legally binding obligation like the I-864 does.

The I-864W form is another document that shares similarities with the I-864. It is specifically designed for individuals who are exempt from the Affidavit of Support requirement. While the I-864 is used to show financial capability, the I-864W serves to confirm that certain applicants, such as those who are or will be receiving government benefits, do not need a sponsor to fulfill the financial requirement.

The I-864A form also relates closely to the I-864. This form is used when a household member of the primary sponsor wants to contribute their income to help meet the financial requirements. While the I-864 is focused on the primary sponsor’s income, the I-864A allows additional income from other household members to be considered, thus strengthening the financial case for the applicant.

The I-864P, or Poverty Guidelines, is another important document associated with the I-864. This form provides the income thresholds that sponsors must meet to successfully support a visa applicant. It outlines the minimum income levels based on household size, ensuring that sponsors understand the financial requirements necessary for the I-864 form.

The I-751 form, Petition to Remove Conditions on Residence, is another document that connects to the I-864. When a conditional resident applies to remove their conditions, they may need to submit an I-864 to prove continued financial support from their sponsor. This ensures that the applicant remains supported as they transition to permanent resident status.

The I-290B form, Notice of Appeal or Motion, can also relate to the I-864 in cases where an immigration petition is denied. If a sponsor's financial capability is questioned, an appeal may be filed, and the I-290B is used to challenge the decision. This document emphasizes the importance of financial support in the immigration process.

Lastly, the Form N-400, Application for Naturalization, is relevant to the I-864. When a permanent resident applies for citizenship, they must demonstrate that they have maintained their status and have not relied on public benefits. The I-864 plays a role in showing that the applicant has been adequately supported, thus impacting their eligibility for naturalization.

Dos and Don'ts

When completing the USCIS I-864 form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below are some key dos and don'ts to keep in mind.

  • Do read the instructions carefully before starting the form.
  • Do provide accurate and complete information for all sections.
  • Do sign and date the form where required.
  • Do keep a copy of the completed form for your records.
  • Don't leave any required fields blank; use "N/A" if not applicable.
  • Don't submit the form without reviewing it for errors.
  • Don't forget to include supporting documents as specified.
  • Don't use pencil or erasable ink; always use black ink.

Misconceptions

The USCIS I-864 form, also known as the Affidavit of Support, is a crucial document for immigrants seeking to adjust their status or obtain a visa. However, several misconceptions surround this form. Here are five common misunderstandings:

  1. It guarantees a visa or green card.

    Many believe that submitting the I-864 ensures approval for a visa or green card. In reality, the I-864 is just one part of the application process. Approval depends on various factors, including eligibility and other supporting documents.

  2. Only the sponsor's income counts.

    Some assume that only the income of the sponsor is considered. However, the income of household members and joint sponsors can also be included to meet the required financial threshold.

  3. It's a one-time obligation.

    Many think that the sponsorship obligation ends once the immigrant becomes a citizen. In fact, the sponsor remains responsible for supporting the immigrant until they have worked for 40 quarters (approximately 10 years) or no longer need public assistance.

  4. All income is counted equally.

    Some individuals believe that any income can be counted towards the support requirement. However, only certain types of income, such as salary, wages, and certain benefits, are considered. Income must also be verifiable and stable.

  5. Submitting the form is the only requirement.

    There is a misconception that filling out the I-864 is sufficient for support. In reality, the sponsor must provide documentation to prove income, such as tax returns and pay stubs, to substantiate the claims made on the form.

Understanding these misconceptions can help sponsors and applicants navigate the immigration process more effectively.

Key takeaways

When filling out the USCIS I-864 form, also known as the Affidavit of Support, there are several important points to keep in mind. This form is crucial for those sponsoring a family member to immigrate to the United States. Here are key takeaways to consider:

  • Understand the Purpose: The I-864 form demonstrates that the sponsor has adequate financial resources to support the immigrant and prevent them from relying on public benefits.
  • Eligibility Requirements: Only certain individuals can serve as sponsors, including U.S. citizens and lawful permanent residents who meet specific income guidelines.
  • Income Thresholds: The sponsor's income must be at least 125% of the Federal Poverty Guidelines for their household size. This is essential to ensure financial stability.
  • Household Size Matters: When calculating income requirements, include all household members, even those not applying for immigration. This can affect the income threshold.
  • Complete and Accurate Information: Ensure that all information on the form is complete and accurate. Mistakes or omissions can lead to delays or denials.
  • Supporting Documents: Attach necessary documents, such as tax returns and proof of income, to substantiate the information provided on the form.
  • Legal Obligations: Signing the I-864 form creates a legally binding contract. Sponsors must fulfill their financial obligations, which may last until the immigrant becomes a U.S. citizen or can be credited with 40 quarters of work.

Filling out the I-864 form correctly is vital for the immigration process. Understanding these key points can help ensure a smoother application experience.