Form I-129F Petition for Alien Fiance(e)

OMB No. 1615-0001; Expires 12/31/06

I-129F, Petition
for Alien Fiancé(e)

Department of Homeland Security
U.S. Citizenship and Immigration Services

Instructions
Updated Filing Address Information: The filing addresses provided on this form reflect the most current information as of the date
this form was last printed. If you are filing Form I-140 more than 30 days after the latest edition date shown on the lower right-hand
corner, please visit us online at www.uscis.gov before you file, and check the Forms and Fees page to confirm the correct filing address
and version currently in use. Check the edition date located in the lower right-hand corner of the form. If the edition date on your Form
I-129F matches the edition date listed for Form I-129F on the online Forms and Fees page, your version is current and will be accepted
by USCIS. If the edition date on the online version is later, download a copy and use the online version. If you do not have Internet
access, call Customer Service at 1-800-375-5283 to verify the current filing address and edition date. Prior versions of this form will
be rejected, and the fee returned, with instructions to resubmit the entire filing using the current version of the form.

1. Who May File?
You may file this petition if:
A. You are a U.S. citizen, and
B. You and your fiancé(e) intend to marry within 90 days
of your fiancé(e) entering the United States, and are
both free to marry, and have met in person within two
years before your filing of this petition unless:
(l) The requirement to meet your fiancé(e) in person
would violate strict and long-established customs of
your or your fiancé(e)'s foreign culture or social
practice; or
(2) It is established that the requirement to personally
meet your fiancé(e) would result in extreme
hardship to you.
OR
C. You wish to have your alien spouse enter as a
nonimmigrant. See Question 11, How Do You Use
This Form for Your Spouse Seeking Entry Using a
K-3 Visa.
NOTE: Unmarried children of your fiancé(e) or spouse
who are under 21 years of age and listed on this form
will be eligible to apply to accompany your fiancé(e) or
spouse.

2. General Filing Instructions.
A. Type or print legibly in black ink.
B. If extra space is needed to complete any item, attach a
continuation sheet, indicate the item number, and date
and sign each sheet.
C. Answer all questions fully and accurately. State that
an item is not applicable with "N/A." If the answer is
"none," write none.
D. Translations. Any foreign language document must be
accompanied by a full English translation that the
translator has certified as complete and correct, and by
the translator's certification that he or she is competent
to translate the foreign language into English.

E. Copies. If these instructions state a copy of a
document may be filed with this petition, you may
submit a copy rather than an original. If you choose to
send the original, U.S. Citizenship and Immigration
Services (USCIS) may keep that original for our
records. If USCIS requires the original, we will
request it.

3. Compliance with the International Marriage
Broker Regulation Act (IMBRA).
If you met your fiancé(e) or spouse through the services of
an international marriage broker, you must notify USCIS
of that fact by answering Question 19 on this form. The
term “international marriage broker” means a corporation,
partnership, business, individual, or other legal entity,
whether or not organized under any law of the United
States, that charges fees for providing dating, matrimonial,
matchmaking services, or social referrals between United
States citizens or nationals or aliens lawfully admitted to
the United States as lawful permanent residents and
foreign national clients by providing personal contact
information or otherwise facilitating communication
between individuals.
The term "international marriage broker" does not include:
Traditional matchmaking organizations of a cultural or
religious nature that operate on a non-profit basis and
in compliance with the laws of the countries in which
it operates, including the laws of the United States; or
Entities that provide dating services if their principal
business is not to provide international dating services
between United States citizens or United States
residents and foreign nationals and charge comparable
rates and offers comparable services to all individuals
it serves regardless of the individual's gender or
country of citizenship.
For additional IMBRA requirements, see items 4 and 9 of
these instructions
Form I-129F Instructions (Rev. 11/24/06) N

4. Filing Limitations on K Nonimmigrant Petitioners.
If you have filed two or more K-1 visa petitions at any time in the
past or previously had a K-1 visa petition approved within two years
prior to the filing of this petition, you must apply for a waiver. To
request a waiver you must submit a written request with this petition
accompanied by documentation of your claim to the waiver.
If you have committed a violent offense against a person or persons,
USCIS may not grant such a waiver unless you can demonstrate that
extraordinary circumstances exist. For details regarding those
circumstances, see item 9.B. of these instructions.

5. What Documents Do You Need to
Show That You Are a U.S. Citizen?
A. If you were born in the United States, give USCIS a
copy, front and back, of your birth certificate.
B. If you were naturalized, give USCIS a copy, front and
back, of your original Certificate of Naturalization.
C. If you were born outside the United States and you are
a U.S. citizen through your parents, give USCIS:
(1) Your original Certificate of Citizenship, or
(2) Your Form FS-240 (Report of Birth Abroad of a
United States Citizen).
D. In place of any of the above, you may give USCIS a
copy of your valid, unexpired U.S. passport issued with
a validity period of at least five years. You must
submit copies of all pages in the passport.
E. If you do not have any of the above and were born in
the United States, see instruction under Number 6
below, "What If a Document Is Not Available?"

6. What If a Document Is Not Available?
If the documents needed above are not available, you can
instead give USCIS the following secondary evidence.
However, USCIS may request in writing that you obtain a
statement from the appropriate civil authority certifying
that the needed document is not available. Any evidence
submitted must contain enough information, such as a
birth date, to establish the event you are trying to prove.
A. Baptismal certificate. A copy, front and back, of the
certificate under the seal of the church, synagogue or
other religious entity showing where the baptism,
dedication or comparable rite occurred, as well as the
date and place of the child's birth, date of baptism and
names of the child's parents. The baptism must have
occurred within two months after the birth of the
child.

B. School record. A letter from the school authority
(preferably from the first school attended), showing the
date of admission to the school, child's date or age at
that time, place of birth and the names of the parents.
C. Census record. State or Federal census records
showing the name(s), date(s) and place(s) of birth or
age(s) of the person(s) listed.
D. Affidavits. Written statements sworn to or affirmed by
two persons who were living at the time and who have
personal knowledge of the event. For example, an
event such as a birth, marriage or death. The persons
making the affidavits may be relatives and do not have
to be citizens of the United States. Each affidavit
should contain the person's full name and address, date
and place of birth, and relationship to you and must
fully describe the event and explain how he or she
acquired knowledge of the event.

7. What Documents Do You Need to
Prove That You Can Legally Marry?
A. Provide copies of evidence that you and your
fiancé(e) have personally met within the last two years;
or if you have never met within the last two years,
provide a detailed explanation and evidence of
the extreme hardship or customary, cultural or social
practices that have prohibited your meeting; and
B. Provide original statements from you and your
fiancé(e) whom you plan to marry within 90 days of his
or her admission, and copies of any evidence you wish
to submit to establish your mutual intent; and
C. If either of you is of an age that requires special
consent or permission for you to marry in the
jurisdiction where your marriage will occur, give proof
of that consent or permission; and
D. If either you or your fiancé(e) were married before,
give copies of documents showing that each prior
marriage was legally terminated.

8. What Other Documents Do You Need?
A. Submit a completed and signed Form G-325A
(Biographic Information) for you and a completed and
signed Form G-325A for your fiancé(e). Except for
name and signature, you do not have to repeat on the
Biographic Information form the information given on
your Form I-129F.
Form I-129F Instructions (Rev. 11/24/06) N Page 2

B. Give USCIS a passport-style color photograph of
yourself and a passport-style color photograph of your
fiancé(e), with both photos taken within 30 days of the
date of filing this petition. The photos must have a
white background, be glossy, un-retouched and not
mounted. The dimension of the full frontal facial
image of you and your fiancé(e) in separate photos
should be about one inch from your chin to the top of
your hair in 3/4 frontal view. Using a pencil or felt
pen, lightly print the name (and Alien Registration
Number, if known) on the back of each photograph.
C. If either you or the person you are filing for is using a
name other than that shown on the relevant documents,
you must give USCIS copies of the legal documents
that made the change, such as a marriage certificate,
adoption decree or court order.

9. What Documents Do You Need to
Comply With the International
Marriage Broker Regulation Act?
A. If you have ever been convicted of any of the following
crimes, submit certified copies of all court and police
records showing the charges and dispositions for every
such conviction. This is required even if your records
were sealed or otherwise cleared or if anyone,
including a judge, law enforcement officer, or attorney,
told you that you no longer have a record.
Domestic violence, sexual assault, child abuse and
neglect, dating violence, elder abuse, and stalking.
The term "domestic violence" includes felony or
misdemeanor crimes of violence committed by a
current or former spouse of the victim, by a person
with whom the victim shares a child in common, by
a person who is cohabitating with or has
cohabittated with the victim as a spouse, by a
person similarly situated to a spouse of the victim
under the domestic or family violence laws of the
jurisdiction receiving grant monies, or by any other
person against an adult or youth victim who is
protected from that person's acts under the domestic
or family laws of the jurisdiction.
Homicide, murder, manslaughter, rape, abusive
sexual contact, sexual exploitation, incest, torture,
trafficking, peonage, holding hostage, involuntary
servitude, slave trade, kidnapping, abduction,
unlawful criminal restraint, false imprisonment, or
an attempt to commit any of these crimes.
Crimes relating to a controlled substance or alcohol
on three or more occasions, and such crimes did not
arise from a single act.

NOTE: If your petition is approved, a copy of your
petition, including the information you submit regarding
your criminal convictions, will be provided to the
Department of State for dissemination to the beneficiary
of your petition pursuant to section 833(a)(5)(A)(ii) of
IMBRA. In addition, pursuant to section 833(a)(5)(A)(iii)
of IMBRA, any criminal background information
pertaining to you that USCIS may discover independently
in adjudicating this petition will also be provided to the
Department of State for disclosure to the beneficiary of
your petition. You should also note that under section
833(c) of IMBRA, the name and contact information of
any person who was granted a protection or restraining
order against you, or of any victim of a crime of violence
perpetrated by the petitioner, will remain confidential but
that the relationship of the petitioner of such person or
victim (i.e., spouse, child, etc.) will be disclosed.

B. If you are seeking a waiver of the filing limitations
imposed by IMBRA, you must attach a signed and
dated request for the waiver, explaining why a waiver
would be appropriate in your case, together with any
evidence in support of your request. Examples of such
evidence include, but are not limited to: a death
certificate, police reports, news articles, or medical
reports from a licensed medical professional, regarding
the death of an alien approved for a prior K visa.
If you have committed a violent offense and seek a
waiver, you must attach a signed and dated request for
the waiver, together with evidence that extraordinary
circumstances exist in your case, i.e., that you were
being battered or subjected to extreme cruelty by your
spouse, parent, or adult child at the time you committed
your violent offense(s), you were not the primary
perpetrator of violence in the relationship, and:
You were acting in self-defense;
You violated a protection order intended for your
protection; or
You committed, were arrested for, were convicted
of, or plead guilty to committing a crime that did
not result in serious bodily injury and where there
was a connection between the crime committed and
your having been battered or subjected to extreme
cruelty.
Examples of such evidence include, but are not limited
to:
Police reports;
Court records;
News articles;
Trial transcripts.
Applicants may submit any credible evidence that is
relevant to the request for such a waiver.
Form I-129F Instructions (Rev. 11/24/06) N Page 3

10. How Do You Use This Form for Your
Spouse Seeking Entry With a K-3 Visa?
This form may be used to obtain a K-3 visa for your alien
spouse. Fill out the form as directed, except assume that
"fiancé" or "fiancé(e)" means "spouse." Answer Questions
B.17 and B.18 by stating "N/A." Note that filing this form
is only necessary to facilitate the entry of your spouse as a
nonimmigrant.
You must submit the documents required in Questions 3, 4
and 6 of the instructions, but may omit the documents
required in Question 5. In addition, U.S. citizens
petitioning for K-3 visas for their alien spouses must also
include evidence that they have filed Form I-130, Petition
for Alien Relative, on behalf of the alien spouse listed on
this form, and a marriage certificate evidencing the legal
marriage between the citizen and alien.
The LIFE Act requires applicants to apply for a K-3 visa in
the country where their marriage to the U.S. citizen
petitioner occurred. Petitioners should make sure to
identify the appropriate consulate, in the same country
where they married the alien for whom they are petitioning,
in block 20 to avoid lengthy delays. In the event the
petitioner and alien were married in the United States, they
should list the country of the alien's current residence. See
U.S. Department of State regulations at 21 CFR 41.81.

11. Mandatory Tracking of Multiple Petitions and
Dissemination of Information Pamphlet.
The International Marriage Broker Regulation Act requires
USCIS to maintain a database to track repeated petitions
for K visas. Upon approval of a second petition for a K-1
or K-3 visa filed by the same U.S. citizen petitioner, USCIS
will notify the petitioner that information concerning the
petitioner has been entered into a multiple visa petition
tracking database. USCIS will enter all subsequent K-1 or
K-3 petitions filed by that petitioner into the database.
When a subsequent petition for a K-1 or K-3 visa petition
has been filed less than ten years after the date the first
petition was filed, USCIS will notify both the petitioner and
the beneficiary of the number of previously approved
petitions listed in the database. USCIS will also send the
beneficiary a pamphlet containing information on legal
rights and resources for immigrant victims of domestic
violence.

12. Where Should You File This Form?
A. If you are filing for your fiancé(e), submit this petition
according to your place of residence, as listed below:
If you live in Connecticut, Delaware, District of
Columbia, Maine, Maryland, Massachusetts,
New Hampshire, New Jersey, New York,
Pennsylvania, Puerto Rico, Rhode Island, Vermont,
U.S. Virgin Islands, Virginia or West Virginia, mail
this petition to:

USCIS Vermont Service Center
75 Lower Welden Street
St. Albans, VT 05479-0001
If you live in Alabama, Arkansas, Florida, Georgia,
Kentucky, Louisiana, Mississippi, New Mexico,
North Carolina, Oklahoma, South Carolina,
Tennessee or Texas, mail this petition to:
USCIS Texas Service Center
P.O. Box 850965
Mesquite, TX 75185-0965
If you live in Arizona, California, Guam, Hawaii or
Nevada, mail this petition to:
USCIS California Service Center
P.O. Box 10130
Laguna Niguel, CA 92607-1013
If you live in Alaska, Colorado, Idaho, Illinois,
Indiana, Iowa, Kansas, Michigan, Minnesota,
Missouri, Montana, Nebraska, North Dakota, Ohio,
Oregon, South Dakota, Utah, Washington,
Wisconsin or Wyoming, mail the petition to:
USCIS Nebraska Service Center
P.O. Box 87130
Lincoln, NE 68501-7130
If you live outside the United States, mail your
petition to USCIS Service Center listed above that
has jurisdiction over the last place you lived in the
United States. NOTE: Your petition cannot be
adjudicated at a USCIS office abroad.
B. If you are filing for your spouse under the K
nonimmigrant visa program, mail your petition to:
USCIS
P.O. Box 7218
Chicago, IL 60680-7218

13. What Is the Fee?
The fee for filing this form is $170.00.
When a check is drawn on the account of a person other
than yourself, write your name on the face of the check. If
the check is not honored, USCIS will charge a fee for the
returned check.
Pay by check or money order in the exact amount. Make
the check or money order payable to the Department of
Homeland Security.
Form I-129F Instructions (Rev. 11/24/06) N Page 4

How to Check If the Fee Is Correct.

16. Processing Information.

Review the Fee Schedule included in your form
package, if you called us to request the form, or

Any petition that is not signed or accompanied by the
correct fee will be rejected with a notice that it is
deficient. You may correct the deficiency and resubmit the
petition. However, a petition is not considered properly
filed until accepted by USCIS. Once the petition has been
accepted, it will be checked for completeness, including
submission of the required evidence. If you do not
completely fill out the form or you file it without required
initial evidence, you will not establish a basis for eligibility
and we may deny your petition.

Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.

We may request more information or evidence or we may
request that you appear at a USCIS office for an interview.

The fee on this form is current as of the edition date
appearing in the lower right corner of this page. However,
because USCIS fees change periodically, you can verify if
the fee is correct by following one of the steps below:
Visit our website at www.uscis.gov and scroll down to
"Forms and E-Filing" to check the appropriate fee, or

14. How Does Your Alien Fiancé(e) Obtain
Permanent Resident Status?
Your alien fiancé(e) may apply for conditional permanent
resident status after you have entered into a valid marriage
to each other within 90 days of your fiancé(e)'s entry into
the United States. Your alien spouse should then apply
promptly to USCIS for adjustment of status to conditional
permanent resident, using Form I-485, Application to
Register or Adjust Status.

15. How Does Your Spouse Become a Permanent
Resident Without Conditions?
Both you and your conditional permanent resident spouse
are required to file a petition, Form I-751, Petition to
Remove the Conditions on Residence, during the 90-day
period immediately before the second anniversary of the
date your alien spouse was granted conditional permanent
residence. Children who were admitted as conditional
permanent residents with your spouse may be included in
the joint petition to remove the conditions.
The rights, privileges, responsibilities and duties that apply
to all other permanent residents apply equally to a
conditional permanent resident to file petitions on behalf of
qualifying relatives, or to reside permanently in the United
States as an immigrant in accordance with the immigration
laws.

Notice

Failure to file Form I-751, Petition to Remove the
Conditions on Residence, will result in termination
of permanent residence status and initiation of
removal proceedings.

17. What Are the Penalties for Marriage Fraud or
Giving False Information?
Title 18, United States Code, Section 100 states that
whoever willfully and knowingly falsifies a material fact,
makes a false statement or makes use of a false document
will be fined up to $10,000 or imprisoned up to five years,
or both.
Title 8, United States Code, Section 1325 states that any
person who knowingly enters into a marriage contract for
the purpose of evading any provision of the immigration
laws shall be imprisoned for not more than five years or
fined not more than $250,000, or both.

18. USCIS Forms and Information.
To order USCIS forms, call our toll-free forms line at
1-800-870-3676. You can also get USCIS forms and
information on immigration laws, regulations or
procedures by calling our National Customer Service
Center at 1-800-375-5283 or visiting our internet website
at www.uscis.gov.

19. Use InfoPass to Make an Appointment.
As an alternative to waiting in line for assistance at your
local USCIS office, you can now schedule an appointment
through our internet-based system, InfoPass. To access the
system, visit our website at www.uscis.gov. Use the
InfoPass appointment scheduler and follow the screen
prompts to set up your appointment. InfoPass generates an
electronic appointment notice that appears on the screen.
Print the notice and take it with you to your appointment.
The notice gives the time and date of your appointment,
along with the address of the USCIS office.

Form I-129F Instructions (Rev. 11/24/06) N Page 5

20. What Is Our Authority for
Collecting This Information?
We request the information on this form to carry out the
immigration laws contained in Title 8, United States Code
1184(d). We need this information to determine whether a
person is eligible for immigration benefits. The
information you provide may also be disclosed to other
federal, state, local and foreign law enforcement and
regulatory agencies during the course of the investigation
required by USCIS. You do not have to give this
information. However, if you refuse to give some or all of
it, your petition may be denied.

21. What Is the Reporting Burden?
Under the Paperwork Reduction Act, a person is not
required to respond to a collection of information unless it
displays a currently valid OMB control number.
We try to create forms and instructions that are accurate, can
be easily understood and that impose the least possible
burden on you to provide us with information. Often this is
difficult because some immigration laws are very complex.
The estimated time to file this petition is 1 hour, 30
minutes per petition.
If you have any comments regarding the accuracy of this
estimate, or suggestions for making this form simpler, you
can write to the U.S. Citizenship and Immigration
Services, Regulatory Management Division, 111
Massachusetts Avenue, N.W., Room 3008, Washington,
D.C. 20529, Re: OMB No. 1615-0001. Do not mail your
completed application to this Washington, D.C.
address.

Form I-129F Instructions (Rev. 11/24/06) N Page 6

OMB No. 1615-0001; Expires 12/31/06

I-129F, Petition
for Alien Fiancé(e)

Department of Homeland Security
U.S. Citizenship and Immigration Services

Do not write in these blocks.
Case ID #

Action Block

For USCIS Use Only

Fee Stamp

A#
G-28 #

AMCON:

The petition is approved for status
under Section 101(a)(5)(k). It is
valid for four months from the date
of action.

Personal Interview

Previously Forwarded

Document Check

Field Investigation

Remarks:

Part A.

Start Here. Information
1. Name (Family name in CAPS) (First)

about you.

2. Address (Number and Street)
(Town or City)

(State or Country)

(Middle)

Apt. #

2. Address (Number and Street)

Apt. #

(State/Country)

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

Male

Female

Divorced

7. Other Names Used (including maiden name)
8a. U.S. Social Security Number 8b. A# (if any)
9. Names of Prior Spouses

(Town or City)

(State or Country)

(Zip/Postal Code)

3a. Place of Birth (Town or City)

(State/Country)

3b. Country of Citizenship

5. Gender

Widowed

Information about your alien fiancé(e).

1. Name (Family name in CAPS) (First)

(Zip/Postal Code)

3. Place of Birth (Town or City)

6. Marital Status
Married
Single

Part B.

(Middle)

Date(s) Marriage(s) Ended

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

5. Gender
Male

Female

6. Marital Status
Married
Single
Widowed
Divorced
7. Other Names Used (including maiden name)
8. U.S. Social Security #

9. A# (if any)

10. Names of Prior Spouses

Date(s) Marriage(s) Ended

10. My citizenship was acquired through (check one)
Birth in the U.S.
Naturalization
Give number of certificate, date and place it was issued.
Parents
Have you obtained a certificate of citizenship in your name?

11. Has your fiancé(e) ever been in the U.S.?
Yes
No
12. If your fiancé(e) is currently in the U.S., complete the
following:
He or she last arrived as a:(visitor, student, exchange alien,
crewman, stowaway, temporary worker, without inspection,
etc.)

Yes
No
If "Yes," give certificate number, date and place it was issued.
11. Have you ever filed for this or any other alien fiancé(e)
or husband/wife before?
Yes
No

Arrival/Departure Record (I-94) Number
Date of Arrival
(mm/dd/yy)

If "Yes," give name of all aliens, place and date of filing,
A# and result. (Attached additional sheets as necessary.)
INITIAL RECEIPT

RESUBMITTED

RELOCATED: Rec'd.

Sent

Date authorized stay expired, or will
expire as shown on I-94 or I-95

COMPLETED: Appv'd.

Denied

Ret'd.

Form I-129F (Rev. 11/24/06) N

Part B.

Information about your alien fiancé(e).

(Continued.)

13. List all children of your alien fiancé(e) (if any)
Name (First/Middle/Last)

Date of Birth (mm/dd/yyyy) Country of Birth

Present Address

14. Address in the United States where your fiancé(e) intends to live.
(Number and Street)
(Town or City)

(State)

15. Your fiancé(e)'s address abroad.
(Number and Street)

(State or Province)

(Town or City)

(Country)

(Phone Number; Include Country, City and Area Codes)

16. If your fiancé(e)'s native alphabet uses other than Roman letters, write his or her name and address abroad in the
native alphabet.
(Name)
(Number and Street)
(Town or City)
17. Is your fiancé(e) related to you?

(State or Province)
Yes

(Country)
No

If you are related, state the nature and degree of relationship, e.g., third cousin or maternal uncle, etc.
18. Has your fiancé(e) met and seen you within the two-year period immediately receding the filing of this petition?
Yes
No
Describe the circumstances under which you met. If you have not personally met each other, explain how the relationship was
established. If you met your fiancé(e) or spouse though an international marriage broker, please explain those circumstances in
Question 19 below. Explain also in detail any reasons you may have for requesting that the requirement that you and your
fiancé(e) must have met should not apply to you.

19. Did you meet your fiancé(e) or spouse through the services of an international marriage broker?
Yes
No
If you answered yes, please provide the name and any contact information you may have (including internet or street address) of the
international marriage broker and where the international marriage broker is located. Attach additional sheets of paper if necessary.

20. Your fiancé(e) will apply for a visa abroad at the American embassy or consulate at:
(City)
(Country)

NOTE: (Designation of a U.S. embassy or consulate outside the country of your fiancé(e)'s last residence does not guarantee
acceptance for processing by that foreign post. Acceptance is at the discretion of the designated embassy or consulate.)
Form I-129F (Rev. 11/24/06) N Page 2

Part C. Other information.
1. If you are serving overseas in the Armed Forces of the United States, please answer the following:
I presently reside or am stationed overseas and my current mailing address is:
2. Have you ever been convicted by a court of law (civil or criminal) or court martialed by a military tribunal for any of the
following crimes:
Domestic violence, sexual assault, child abuse and neglect, dating violence, elder abuse or stalking. (Please refer to page 3 of
the instructions for the full definition of the term "domestic violence.)
Homicide, murder, manslaughter, rape, abusive sexual contact, sexual exploitation, incest, torture, trafficking, peonage,
holding hostage, involuntary servitude, slave trade, kidnapping, abduction, unlawful criminal restraint, false imprisonment or
an attempt to commit any of these crimes, or
Three or more convictions for crimes relating to a controlled substance or alcohol not arising from a single act.
Yes
No
Answering this question is required even if your records were sealed or otherwise cleared or if anyone, including a judge, law
enforcement officer, or attorney, told you that you no longer have a record. Using a separate sheet(s) of paper, attach information
relating to the conviction(s), such as crime involved, date of conviction and sentence.
3. If you have provided information about a conviction for a crime listed above and you were being battered or subjected to
extreme cruelty by your spouse, parent, or adult child at the time of your conviction, check all of the following that apply to
you:
I was acting in self-defense.
I violated a protection order issued for my own protection.
I committed, was arrested for, was convicted of, or plead guilty to committing a crime that did not result in serious bodily
injury, and there was a connection between the crime committed and my having been battered or subjected to extreme cruelty.

Part D. Penalties, certification and petitioner's signature.
PENALTIES: You may by law be imprisoned for not more than five years, or fined $250,000, or both, for entering into a marriage
contract for the purpose of evading any provision of the immigration laws, and you may be fined up to $10,000 or imprisoned up to five
years, or both, for knowingly and willfully falsifying or concealing a material fact or using any false document in submitting this petition.
YOUR CERTIFICATION: I am legally able to and intend to marry my alien fiancé(e) within 90 days of his or her arrival in the United
States. I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct.
Furthermore, I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to
determine eligibility for the benefit that I am seeking.
Moreover, I understand that this petition, including any criminal conviction information that I am required to provide with this petition, as
well as any related criminal background information pertaining to me that U.S. Citizenship and Immigration Services may discover
independently in adjudicating this petition will be disclosed to the beneficiary of this petition.
Signature

Date (mm/dd/yyyy)

Daytime Telephone Number (with area code)

E-Mail Address (if any)

Part E. Signature of person preparing form, if other than above. (Sign below.)
I declare that I prepared this application at the request of the petitioner and it is based on all information of which I have knowledge.
Signature

Firm Name and Address

Print or Type Your Name

G-28 ID Number

Date (mm/dd/yyyy)

Daytime Telephone Number (with area code)

E-Mail Address (if any)

Form I-129F (Rev. 11/24/06)N Page 3