Form I-829 Petition by Entrepreneur to Remove Conditions

Petition by Entrepreneur to Remove Conditions
on Permanent Resident Status

USCIS
Form I-829

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

OMB No. 1615-0045
Expires: 04/30/2019

Fee Receipt

Received (mm/dd/yyyy)

Action Block

Resubmitted (mm/dd/yyyy)
Relocated (mm/dd/yyyy)

For Received (mm/dd/yyyy)
USCIS Sent (mm/dd/yyyy)
Use
Petitioner Interviewed
Only

Remarks

(mm/dd/yyyy)

Immigrant Classification
DOE/A

To be completed
by an Attorney
or Accredited
Representative (if any).

Select this box if
Form G-28 is
attached.

Attorney State Bar Number
(if applicable)

Attorney or Accredited Representative
USCIS Online Account Number (if any)

► START HERE - Type or print in black ink.

Part 1. Basis for Petition
1.

Part 2. Information About You

Is the investment associated with a Regional Center?
Yes

No

If you answered “Yes” to Item Number 1., complete Item
Numbers 2.a. and 2.b.
2.a. What is the name of the Regional Center?

1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
2.

Alien Registration Number (A-Number) (if any)
► A-

2.b. Regional Center Identification Number

3.

USCIS Online Account Number (if any)
►

3.a. What is the name of the New Commercial Enterprise
(NCE)?

4.

U.S. Social Security Number (if any)

3.b. NCE Identification Number

5.

Date of Birth (mm/dd/yyyy)

6.

Gender

7.

Country of Birth

8.

Country of Citizenship or Nationality

9.

Date of Admission as a Conditional Permanent Resident
(mm/dd/yyyy)

10.

Form I-526 Receipt Number on Which This Petition is
Based ►

►
Select only one box
4.
5.

6.

I am a conditional permanent resident based on my
investment in a commercial enterprise.
I am a conditional permanent resident who is the
spouse, former spouse, or child of an entrepreneur,
and I am filing separately from the entrepreneur's
Form I-829.
I am a conditional permanent resident spouse or child
of an entrepreneur who has died.

Form I-829 04/21/17 N

►

Male

Female

Page 1 of 11

Part 2. Information About You (continued)

Physical Address

11.

Provide your physical addresses for the last five years. Provide
your present address first. If you need extra space to complete
this section, use the space provided in Part 12. Additional
Information.

Any Additional Form I-526 or Form I-829 Receipt
Numbers for Other Petitions Filed by Entrepreneur
►

16.a. Street Number
and Name

Other Names You Have Used
List all other names you have ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.

16.b.

12.a. Family Name
(Last Name)
12.b. Given Name
(First Name)

16.d. State

Apt.

Ste.

Flr.

16.c. City or Town
16.e. ZIP Code

16.f. Province
16.g. Postal Code

12.c. Middle Name

16.h. Country
13.a. Family Name
(Last Name)
13.b. Given Name
(First Name)

Criminal History

13.c. Middle Name

17.

Your U.S. Mailing Address

Since becoming a conditional permanent resident, have
you EVER been arrested, cited, charged, indicted,
convicted, fined, or imprisoned for violating any law or
ordinance (excluding minor traffic violations)?

14.a. In Care Of Name (if any)

Yes
18.

14.b. Street Number
and Name
14.c.

Apt.

Ste.

Flr.

14.d. City or Town
14.e. State
15.

14.f. ZIP Code

Is your mailing address the same as your physical address?
Yes
No

If you answered “No” to Item Number 15., you MUST
provide your current physical address in the Item Numbers
16.a. - 16.h. If you need extra space to complete this section,
use the space provided in Part 12. Additional Information.

No

Since becoming a conditional permanent resident, have
you EVER committed any crime for which you were not
arrested?
Yes
No

If you answered “Yes” to Item Number 17., you must provide
certified court dispositions, arrest reports, statements of charges,
indictment information, or any other charging documents that
were issued. If you answered “Yes” to Item Number 18.,
provide the date and location (town or city/state or province/
country) of the events and provide an explanation in the space
provided in Part 12. Additional Information.

Part 3. Information About Your Current or
Former Conditional Permanent Resident Spouse
NOTE: If you have both a current spouse and a former
conditional permanent resident spouse, use the space provided
in Part 12. Additional Information to provide this same
information about your current spouse or former conditional
permanent resident spouse who you did not already include in
Part 3. below.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name

Form I-829 04/21/17 N

Page 2 of 11

Part 3. Information About Your Current or
Former Conditional Permanent Resident Spouse
(continued)
2.

Gender

Male

Female

3.

Alien Registration Number (A-Number) (if any)
► A-

4.

5.

USCIS Online Account Number (if any)
►
Date of Birth (mm/dd/yyyy)

Other Information
9.

Former Conditional Permanent Resident Spouse
10.

Date of Marriage (mm/dd/yyyy)

11.

Date Marriage Terminated (if applicable)
(mm/dd/yyyy)

12.

Is this spouse currently living with you?

Yes

No

13.

Is this spouse applying with you?

Yes

No

14.

Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)

15.

Is the current immigration status of your spouse or former
spouse based on your current immigration status?
Yes
No

Other Names Used
List all other names your current spouse or former conditional
permanent resident spouse has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)

Current Spouse

Part 4. Information About Your Children
Provide the following information about your children.

6.c. Middle Name

Child 1
7.a. Family Name
(Last Name)
7.b. Given Name
(First Name)

1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)

7.c. Middle Name

1.c. Middle Name

Physical Address
Provide your current spouse or former conditional permanent
resident spouse's physical addresses for the last five years.
Provide the present address first. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
8.a. Street Number
and Name
8.b.

Apt.

Ste.

8.f.

Gender

Male

Female

3.

Alien Registration Number (A-Number) (if any)
► A-

4.

USCIS Online Account Number (if any)
►

5.

Date of Birth (mm/dd/yyyy)

Flr.
Other Names Your Child Has Used

8.c. City or Town
8.d. State

2.

8.e. ZIP Code

Province

8.g. Postal Code
8.h. Country

List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)
6.c. Middle Name

Form I-829 04/21/17 N

Page 3 of 11

Mailing Address

Part 4. Information About Your Children
(continued)

17.a. Street Number
and Name

Mailing Address
17.b.

7.a. Street Number
and Name
7.b.

Apt.

Apt.

Ste.

Flr.

17.c. City or Town
Ste.

Flr.
17.d. State

17.e. ZIP Code

7.c. City or Town
17.f. Province
7.d. State

7.e. ZIP Code
17.g. Postal Code

7.f.

Province

17.h. Country

7.g. Postal Code
7.h. Country

8.

Is this child currently living with you?

Yes

No

9.

Is this child applying with you?

Yes

No

10.

Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)

18.

Is this child currently living with you?

Yes

No

19.

Is this child applying with you?

Yes

No

20.

Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)

Child 3
21.a. Family Name
(Last Name)
21.b. Given Name
(First Name)

Child 2
11.a. Family Name
(Last Name)
11.b. Given Name
(First Name)

21.c. Middle Name

11.c. Middle Name
12.

Gender

Male

13.

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

22.

Gender

23.

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

USCIS Online Account Number (if any)
►

Female

► A-

Female
24.

USCIS Online Account Number (if any)
►

25.

Date of Birth (mm/dd/yyyy)

► A14.

Male

Other Names Your Child Has Used
15.

Date of Birth (mm/dd/yyyy)

Other Names Your Child Has Used
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
16.a. Family Name
(Last Name)
16.b. Given Name
(First Name)

List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
26.a. Family Name
(Last Name)
26.b. Given Name
(First Name)
26.c. Middle Name

16.c. Middle Name
Form I-829 04/21/17 N

Page 4 of 11

Mailing Address

Part 4. Information About Your Children
(continued)

37.a. Street Number
and Name

Mailing Address

37.b.

27.a. Street Number
and Name
27.b.

Apt.

Apt.

Ste.

Flr.

37.c. City or Town
Ste.

Flr.
37.d. State

37.e. ZIP Code

27.c. City or Town
37.f. Province
27.d. State

27.e. ZIP Code
37.g. Postal Code

27.f. Province

37.h. Country

27.g. Postal Code
27.h. Country

28.

Is this child currently living with you?

Yes

No

29.

Is this child applying with you?

Yes

No

30.

Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)

Child 4

38.

Is this child currently living with you?

Yes

No

39.

Is this child applying with you?

Yes

No

40.

Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)

If you need extra space to complete this section, use the space
provided in Part 12. Additional Information.

Part 5. Biographic Information

31.a. Family Name
(Last Name)
31.b. Given Name
(First Name)
31.c. Middle Name
32.

Gender

Male

33.

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

1.

Ethnicity (Select only one box)
Hispanic or Latino
Not Hispanic or Latino

2.

Race (Select all applicable boxes)
White
Asian
Black or African American

Female

► A34.

USCIS Online Account Number (if any)
►

35.

Date of Birth (mm/dd/yyyy)

Other Names Your Child Has Used
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
36.a. Family Name
(Last Name)
36.b. Given Name
(First Name)
36.c. Middle Name
Form I-829 04/21/17 N

American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
3.

Height

4.

Weight

5.

Eye Color (Select only one box)

6.

Feet

Inches
Pounds

Black
Gray

Blue

Brown

Green

Hazel

Maroon

Pink

Unknown/Other

Hair Color (Select only one box)
Bald (No hair)
Brown
Sandy

Black
Gray
White

Blond
Red
Unknown/Other
Page 5 of 11

Part 6. Additional Information About the
Regional Center and the New Commercial
Enterprise (NCE)
1.

2.

Receipt Number for the Approved Form I-924,
Application For Regional Center Designation Under the
Immigrant Investor Program, Upon Which the Related
Form I-526, Immigrant Petition by Alien Entrepreneur,
Was Based
►
Was the Regional Center associated with the entrepreneur
terminated?
Yes
No

11.b. Amount of Subsequent Investment $
11.c. Type of Subsequent Investment (for example, cash,
equipment, inventory, other tangible property, cash
equivalents, or qualifying indebtedness as described in
8 CFR 204.6(e))

NOTE: If multiple investments have been made since the
entrepreneur's initial investment in the commercial enterprise,
use the space provided in Part 12. Additional Information to
list the dates, amounts, and type of investments.
12.

$

Physical Address of the NCE
13.

3.a. Street Number
and Name
3.b.

Apt.

Ste.

Flr.

3.c. City or Town
3.d. State

Amount of Capital Investment Sustained in the NCE

3.e. ZIP Code

Changes in Assets of the NCE. Has the commercial
enterprise sold any assets, including but not limited to
investment securities and real property, and distributed
the proceeds of the sale to any of its equity holders or had
any other capital distributions or withdrawals since the
date of your initial investment?
Yes
No

If you answered “Yes” to Item Number 13., use the space
provided in Part 12. Additional Information to provide an
explanation.

4.

Telephone Number

5.

Internet Web site Address (if established)

6.

Included Industries (select North American Industry
Classification System (NAICS) code or codes)

7.

IRS Tax Identification Number

8.

Date Business Established (mm/dd/yyyy)

9.

Date of the Entrepreneur's Initial Investment
(mm/dd/yyyy)

10.

Amount of the Entrepreneur's Initial Investment
$

14.

Provide the total amount of capital invested by EB-5
investors into the NCE.
$

15.

Provide the number of EB-5 investors associated with the
NCE.

16.

Has the NCE filed for bankruptcy, ceased business
operations, materially changed the nature of the business,
or made any changes in its organization or ownership
since the date of your initial investment, or have any
criminal or civil proceedings been filed against the NCE
or any of its owners, officers, directors, general partners,
managers or other persons with a similar interest or in a
similar position of authority for the NCE involving fraud
or other unlawful activity?
Yes
No

If you answered “Yes” to Item Number 16., use the space
provided in Part 12. Additional Information to provide an
explanation.

Subsequent Investments in the NCE
Provide the following information about how much you have
invested in the NCE since your initial investment.
11.a. Date of Subsequent Investment
(mm/dd/yyyy)

Form I-829 04/21/17 N

Page 6 of 11

Part 7. Information About the Job Creating
Entity (JCE)

7.

JCE 1
1.

Name of the JCE

Physical Address

Yes

2.a. Street Number
and Name
Apt.

2.b.

Ste.

Flr.

2.c. City or Town
2.d. State

2.e. ZIP Code

If you answered “Yes” to Item Number 7., use the space
provided in Part 12. Additional Information to provide an
explanation.

Part 8. Information About Job Creation
1.a. Number of Full-Time Direct and Qualifying Employees
in the NCE at the Time of Your Initial Investment

Name of the JCE

Physical Address

1.b. Number of Full-Time Direct and Qualifying Employees
in the NCE at the Time of Filing This Petition

4.a. Street Number
and Name
Apt.

4.b.

No

Information about direct job creation at the NCE:

JCE 2
3.

Has any of the JCEs filed for bankruptcy, ceased business
operations, materially changed the nature of the business,
or made any changes in its organization or ownership
since the date of your initial investment, or have any
criminal or civil proceedings been filed against any of the
JCEs or any of their owners, officers, directors, general
partners, managers or other persons with a similar interest
or in a similar position of authority for any of the JCEs
involving fraud or other unlawful activity?

Ste.

Flr.

4.c. City or Town
4.d. State

4.e. ZIP Code

1.c. Difference in Number of Full-Time Direct and Qualifying
Employees
1.d. Amount of Capital Invested in the NCE That Was Not
Funded by EB-5 Investors
$

JCE 3
5.

Information about indirect job creation outside of the NCE
(if applicable)

Name of the JCE

2.a. Number of Full-Time Economically Direct, Indirect and
Induced Jobs Created as a Result of EB-5 Investment

Physical Address
6.a. Street Number
and Name
6.b.

Apt.

Ste.

Flr.

6.c. City or Town
6.d. State

6.e. ZIP Code

If there are additional JCEs, use Part 12. Additional
Information to provide the names and physical addresses of the
additional JCEs.

2.b. Amount of Capital From EB-5 Investors That Was
Transferred to the JCE
$
2.c. Amount of Capital Invested in the JCE That Was Not
Funded by Investors Who Received or are Seeking
Classification as Alien Entrepreneurs
$
3.

Are you investing in a troubled business?
Yes

No

If the investment was made into a troubled business:
4.a. How many full-time, qualifying positions were maintained
as a result of the investment?
4.b. How many full-time, qualifying positions were created as
a result of the investment?
Form I-829 04/21/17 N

Page 7 of 11

Part 8. Information About Job Creation
(continued)

Petitioner's Declaration and Certification

5.

If ten full-time jobs for qualifying employees have not yet
been created, please indicate the number of jobs expected
to be created within a reasonable time.

6.

Changes to Business Plan. Have you made an investment
and created jobs in the United States according to the plan
presented in the Form I-526?
Yes
No

If you answered “No” to Item Number 6., use the space
provided in Part 12. Additional Information to provide an
explanation of the changes made to the original business plan
submitted with the approved Form I-526.

Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
that USCIS may require that I submit original documents to
USCIS at a later date. Furthermore, I authorize the release of
any information from any and all of my records that USCIS
may need to determine my eligibility for the immigration
benefit I seek.
I further authorize release of information contained in this
petition, in supporting documents, and in my USCIS records, to
other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.
I understand that USCIS will require me to appear for an
appointment to take my biometrics (fingerprints, photograph,
and/or signature) and, at that time, I will be required to sign an
oath reaffirming that:

Part 9. Petitioner's Statement, Contact
Information, Declaration, Certification, and
Signature

1) I reviewed and understood all of the information in,
and submitted with, my petition; and
2) All of this information was complete, true, and correct
at the time of filing.

NOTE: Read the Penalties section of the Form I-829
Instructions before completing this part.

I certify, under penalty of perjury, that all of the information in
my petition 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 petition and
that all of this information is complete, true, and correct.

Petitioner's Statement
NOTE: Select the box for either Item Number 1.a. or 1.b. If
applicable, select the box for Item Number 2.
1.a.

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

1.b.

The interpreter named in Part 10. read to me every
question and instruction on this petition and my
answer to every question in

2.

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

At my request, the preparer named in Part 11.,
prepared this petition for me based only upon
information I provided or authorized.

Petitioner's Contact Information
3.

6.a. Petitioner's Signature

6.b. Date of Signature (mm/dd/yyyy)
,

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

Petitioner's Signature

Petitioner's Daytime Telephone Number

Part 10. Interpreter's Contact Information,
Certification, and Signature
Provide the following information about the interpreter.

Interpreter's Full Name
1.a. Interpreter's Family Name (Last Name)

4.

Petitioner's Mobile Telephone Number (if any)
1.b. Interpreter's Given Name (First Name)

5.

Petitioner's Email Address (if any)
2.

Form I-829 04/21/17 N

Interpreter's Business or Organization Name (if any)

Page 8 of 11

Part 11. Contact Information, Declaration, and
Signature of the Person Preparing this Petition,
if Other Than the Petitioner

Part 10. Interpreter's Contact Information,
Certification, and Signature (continued)
Interpreter's Mailing Address

Provide the following information about the preparer.

3.a. Street Number
and Name
3.b.

Apt.

Preparer's Full Name
Ste.

Flr.

1.a. Preparer's Family Name (Last Name)

3.c. City or Town
3.d. State
3.f.

1.b. Preparer's Given Name (First Name)

3.e. ZIP Code

Province

2.

Preparer's Business or Organization Name (if any)

3.g. Postal Code
3.h. Country

Preparer's Mailing Address
3.a. Street Number
and Name

Interpreter's Contact Information
4.

Interpreter's Daytime Telephone Number

5.

Interpreter's Mobile Telephone Number (if any)

3.b.

Ste.

Flr.

3.c. City or Town
3.d. State
3.f.

6.

Apt.

Interpreter's Email Address (if any)

3.e. ZIP Code

Province

3.g. Postal Code
3.h. Country

Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and

Preparer's Contact Information
,

which is the same language specified in Part 9., Item Number
1.b., and I have read to this petitioner in the identified language
every question and instruction on this petition and his or her
answer to every question. The petitioner informed me that he or
she understands every instruction, question, and answer on the
petition, including the Petitioner's Declaration and
Certification, and has verified the accuracy of every answer.

Interpreter's Signature
7.a. Interpreter's Signature

4.

Preparer's Daytime Telephone Number

5.

Preparer's Mobile Telephone Number (if any)

6.

Preparer's Email Address (if any)

Preparer's Statement
7.a.

I am not an attorney or accredited representative but
have prepared this form on behalf of the authorized
individual and with the authorized individual's
consent.

7.b.

I am an attorney or accredited representative and
have prepared this form on behalf of the authorized
individual and with the authorized individual's
consent.

7.b. Date of Signature (mm/dd/yyyy)

Form I-829 04/21/17 N

Page 9 of 11

Part 11. Contact Information, Declaration, and
Signature of the Person Preparing this Petition,
if Other Than the Petitioner (continued)
NOTE: If you are an attorney or accredited representative, you
may be obliged to submit a completed Form G-28, Notice of
Entry of Appearance as Attorney or Accredited Representative,
or Form G-28I, Notice of Entry of Appearance as Attorney In
Matters Outside the Geographical Confines of the United States,
with this petition.

Preparer's Certification
By my signature, I certify, under penalty of perjury, that I
prepared this petition at the request of the petitioner. The
petitioner then reviewed this completed petition and informed
me that he or she understands all of the information contained
in, and submitted with, his or her petition, including the
Petitioner's Declaration and Certification, and that all of this
information is complete, true, and correct. I completed this
petition based only on information that the petitioner provided
to me or authorized me to obtain or use.

Preparer's Signature
8.a. Preparer's Signature

8.b. Date of Signature (mm/dd/yyyy)

Form I-829 04/21/17 N

Page 10 of 11

5.a. Page Number

Part 12. Additional Information
If you need extra space to provide any additional information
within this petition, use the space below. If you need more
space than what is provided, you may make copies of this page
to complete and file with this petition or attach a separate sheet
of paper. Type or print your name and A-Number (if any) at the
top of each sheet; indicate the Page Number, Part Number,
and Item Number to which your answer refers; and sign and
date each sheet.

5.b. Part Number

5.c. Item Number

6.b. Part Number

6.c. Item Number

7.b. Part Number

7.c. Item Number

5.d.

1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name
2.

A-Number (if any)
► A6.a. Page Number

3.a. Page Number

3.b. Part Number

3.c. Item Number
6.d.

3.d.

7.a. Page Number
4.a. Page Number

4.b. Part Number

4.c. Item Number
7.d.

4.d.

Form I-829 04/21/17 N

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