I864-007-INS-AffidavitofSupportRule-08172020

Instructions for Affidavit of Support
Under Section 213A of the INA
Department of Homeland Security
U.S. Citizenship and Immigration Services

USCIS
Form I-864

OMB No. 1615-0075
Expires 03/31/2020

What is the Purpose of Form I-864?
This affidavit is required for most family-based intending immigrants and some employment-based intending immigrants
to show that they have adequate means of financial support and are not inadmissible on the public charge ground.

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How is Form I-864 Used?

This affidavit is a contract between a sponsor and the U.S. Government. Executing Form I-864 makes you the sponsor.
You must show on this affidavit that you have enough income and/or assets to maintain the intending immigrants and the
rest of your household at 125 percent of the Federal Poverty Guidelines. By signing Form I-864, you are agreeing to use
your resources to support the intending immigrants named in this affidavit, if it becomes necessary.
Executing this affidavit may make the sponsored immigrant ineligible for certain means-tested public benefits, because
an agency that provides means-tested public benefits will consider your resources and assets as available to the sponsored
immigrant when determining his or her eligibility for the program.
If the immigrant sponsored in this affidavit does receive a means-tested public benefit while the obligations of this
affidavit are in effect, the agency providing the benefit may request that you repay the cost of the benefit. That agency can
sue you if the cost of the benefit provided is not repaid.
Not all benefits are considered are means-tested public benefits. See Form I-864P, Poverty Guidelines, for more
information on which benefits are covered by this definition, or the contract in Part 9. Sponsor’s Contract, Statement,
Contact Information, Declaration, Certification, and Signature of Form I-864 for a list of benefits explicitly not
considered means-tested public benefits.

Who Needs to Submit Form I-864?

The following immigrants are required by law to submit Form I-864 executed by the petitioner to obtain an immigrant
visa overseas or to adjust status to that of a lawful permanent resident in the United States:
1. All immediate relatives of U.S. citizens (spouses, unmarried children under 21 years of age, and parents of U.S.
citizens 21 years of age and older);
2. All family-based preference immigrants (unmarried sons and daughters of U.S. citizens, spouses and unmarried sons
and daughters of lawful permanent residents, married sons and daughters of U.S. citizens, and brothers and sisters of
U.S. citizens 21 years of age and older); and
3. Employment-based preference immigrants in cases only when a U.S. citizen, lawful permanent resident, or U.S.
national relative filed the immigrant visa petition or such relative has a significant ownership interest (five percent or
more) in the entity that filed the petition.

Are There Exceptions to Who Needs to Submit Form I-864?
See the Form I-485, Application to Register Permanent Residence or Adjust Status, for information on intending
immigrants who do not need to submit this form. See also 8 C.F.R. 213(a)(2) for more information on intending
immigrants who do not need to submit this form.
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If you have applied for an immigrant visa with the U.S. Department of State, see www.travel.state.gov for information
about whether you need to file Form I-864.
Certain adoptees that file a Form I-600 or a Form I-800 also may be exempt from filing Form I-864.
See also 8 C.F.R. 213(a)(2) for more information on intending immigrants who do not need to submit this form.

General Instructions
U.S. Citizenship and Immigration Services (USCIS) provides forms free of charge through the USCIS website. In order
to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free
at http://get.adobe.com/reader/. If you do not have Internet access, you may call the USCIS National Customer Service
Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.

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Signature. Each affidavit must be properly signed and filed. For all signatures on this affidavit, USCIS will not accept
a stamped or typewritten name in place of a signature. You must be at least 18 years of age to act as a sponsor and sign
Form I-864. A legal guardian may also sign for a mentally incompetent person.
If you are under guardianship, your legal guardian may print your name and sign Form I-864 for you. “Legal guardian”
includes any person who is appointed and authorized by law to protect your estate as a result of your incapacity. The
legal guardian must present proof of the appointment as legal guardian of your estate and a copy of an order from the
appointing court or agency specifically permitting the guardian to make your income and assets available for the support
of the sponsored immigrant.
Filing Fee. There is no filing fee to file Form I-864 with USCIS. For information on processing fees when filing with the
U.S. Department of State (DOS), see www.travel.state.gov.
Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Specific
Instructions and Specific Requirements sections of these Instructions.
Biometric Services Appointment. USCIS may require that you appear for an interview or provide fingerprints,
photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background
and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation
(FBI), before making a decision on your application, petition, or request. After USCIS receives your contract and ensures
it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an appointment is
necessary, the notice will provide you the location of your local or designated USCIS Application Support Center (ASC)
and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S. Embassy, U.S.
Consulate, or USCIS office outside the United States to set up an appointment.
If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:
1. You provided or authorized all information in the affidavit;
2. You reviewed and understood all of the information contained in, and submitted with, your affidavit; and
3. All of this information was complete, true, and correct at the time of filing.
Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you
must submit an original document. USCIS may request an original document at the time of filing or at any time during
processing of an application, petition, or request. If USCIS requests an original document from you, it will be returned to
you after USCIS determines it no longer needs your original.
NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be
immediately destroyed upon receipt.

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Translations. If you submit a document with information in a foreign language, you must also submit a full English
translation. The translator must sign a certification that the English language translation is complete and accurate, and that
he or she is competent to translate from the foreign language into English. The certification must include the translator’s
signature. The Department of Homeland Security (DHS) recommends the certification contain the translator’s printed
name and the date and the translator’s contact information.
How to Fill Out Form I-864
1. Type or print legibly in black ink.
2. If you need extra space to complete any item within this affidavit, use the space provided in Part 12. Additional
Information or attach a separate sheet of paper; type or print your name and Alien Registration Number (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.

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3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been
married and the question asks “Provide the name of your current spouse”), type or print “N/A,” unless otherwise
directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many
children do you have” or “How many times have you departed the United States”), type or print “None,” unless
otherwise directed.

Specific Instructions

Part 1. Basis for Filing Form I-864

Provide your full name (the sponsor) in the space provided, then select the Item Number that reflects your basis for filing
Form I-864.
Item Number 1.a. Select this box if you are the petitioner who is filing or who has already filed Form I-129F, Petition
for Alien Fiancé(e), for a fiancé(e); Form I-130, Petition for Alien Relative, for a family member; Form I-600, Petition to
Classify Orphan as an Immediate Relative, for an orphan; or Form I-800, Petition to Classify Convention Adoptee as an
Immediate Relative, for a Convention adoptee.
Item Number 1.b. Select this box if you are filing or have filed Form I-140, Immigrant Petition for Alien Worker, for
your husband, wife, father, mother, child, adult son or daughter, brother, or sister and indicate your relationship to the
beneficiary in the space provided.
Item Number 1.c. Select this box if you have an ownership interest of at least five percent in a business, corporation, or
other entity that filed or is filing Form I-140 for your husband, wife, father, mother, child, adult son or daughter, brother,
or sister. Indicate the name of the business you have an ownership interest in, and your relationship to the beneficiary in
the spaces provided.
Item Number 1.d. Select this box if you are the only joint sponsor.
Item Number 1.e. Select this box if you are either of two joint sponsors.
NOTE: A joint sponsor does not have to be related to the intending immigrant. Indicate whether you are the only joint
sponsor or one of two joint sponsors. Check with the petitioning sponsor or the intending immigrant if you are not
certain.

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Item Number 1.f. Select this box if you are the substitute sponsor. A substitute sponsor is a sponsor who is executing
Form I-864 on behalf of an intending immigrant whose Form I-130 petitioner died after the Form I-130 was approved, but
before the intending immigrant obtained lawful permanent residence status. The substitute sponsor must be related to the
intending immigrant in one of the following ways: spouse, parent, mother-in-law, father-in-law, sibling, child (at least 18
years of age), son, daughter, son-in-law, daughter-in-law, brother-in-law, sister-in-law, grandparent, grandchild, or legal
guardian. The substitute sponsor must also be a U.S. citizen, lawful permanent resident, or U.S. national. If you are a
substitute sponsor, you must sponsor each intending immigrant.
Part 2. Information About the Principal Immigrant
The principal immigrant is the intending immigrant who is the primary beneficiary of the immigrant petition.

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Item Numbers 1.a. - 1.c. Name. Provide the full name of the principal immigrant.

Item Numbers 2.a. - 2.i. Mailing Address. Provide the mailing address of the principal immigrant.
Item Number 3. Country of Citizenship or Nationality. Provide the country of citizenship or nationality of the
principal immigrant.
Item Number 4. Date of Birth. Provide the date of birth of the principal immigrant in mm/dd/yyyy format.
Item Number 5. Alien Registration Number (A-Number) (if any). An Alien Registration Number (A-Number) is
a number assigned by the former Immigration and Naturalization Service (INS) or U.S. Citizenship and Immigration
Services (USCIS). People with A-Numbers can locate the number on their INS or USCIS-issued documentation. If the
intending immigrants you are sponsoring have not previously been in the United States or have only been in the United
States as tourists, they may not have A-Numbers.
Item Number 6. USCIS Online Account Number (if any). If you have previously filed an application, petition, or
request using the USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)),
provide the USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account
Number by logging in to your account and going to the profile page. If you previously filed certain applications, petitions,
or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice
issuing you a USCIS Online Account Number. If you received such a notice, your USCIS Online Account Number can be
found at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the space provided. The
USCIS Online Account Number is not the same as an A-Number.
Item Number 7. Daytime Telephone Number. Provide a daytime telephone number with area code for the principal
immigrant.
Part 3. Information About the Immigrants You Are Sponsoring
Item Number 1. Indicate whether you are sponsoring the principal immigrant listed in Part 2. of Form I-864. Select
“No” if you are sponsoring only intending immigrants listed in Part 3., Item Numbers 4.a. - 28. and (if applicable)
in Part 12. Additional Information, and not the principal immigrant listed in Part 2. This only applies if you are
sponsoring family members in Part 3. and Part 12. Additional Information, as the second joint sponsor.
Item Number 2. Family Members Immigrating Within Six Months. The immigrant you are sponsoring (the principal
immigrant) may bring a spouse and/or children to the United States. If the spouse and/or children will travel with the
principal immigrant, or within six months of the principal immigrant’s entry into the United States and you are sponsoring
them, you should list the names and other requested information in the spaces provided in Item Number 2. If any
dependents are not immigrating, will immigrate more than six months after the principal immigrant arrives in the United
States, or you are not sponsoring them, then do not list their names here. A separate Form I-864 is required for them when
they apply for their immigrant visas.

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Item Numbers 4.a. - 28. Family Members Immigrating More Than Six Months After the Principal Immigrant.
If you are executing this Form I-864 for the principal immigrant’s family members who are immigrating more than six
months after the principal immigrant, you should list the names and other requested information in the spaces provided in
Item Numbers 4.a. - 28.
Item Number 29. Type or print the total number of immigrants you are sponsoring on this affidavit from Item Numbers
1.a. - 28., including any immigrants listed for these questions in Part 12. Additional Information.
Part 4. Information About You (Sponsor)
Item Numbers 1.a. - 1.c. Sponsor’s Full Name. Provide your (the sponsor’s) full name.

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Item Numbers 2.a. - 3. Sponsor’s Mailing Address. Provide your (the sponsor’s) current mailing address.
Item Numbers 4.a. - 4.h. Sponsor’s Physical Address. Provide the physical address where you (the sponsor) live, if
different from your mailing address.
Item Number 5. Country of Domicile. Indicate the country where you maintain your principal residence and where you
plan to reside for the foreseeable future. If your mailing address and/or place of residence is not in the United States, but
your country of domicile is the United States, you must attach a typed or printed explanation and documentary evidence
indicating how you meet the domicile requirement. If you are not currently living in the United States, you may meet the
domicile requirement if you can submit evidence to establish that any of the following conditions apply:
1. You are employed by a certain organization.

Some individuals employed overseas are automatically considered as domiciled in the United States because of the
nature of their employment. The qualifying types of employment include employment by:
A. The U.S. Government;

B. An American institution of research recognized by the Secretary of Homeland Security (you may find the list of
qualifying institutions at 8 CFR 316.20);
C. A U.S. firm or corporation engaged in whole or in part in the development of foreign trade and commerce with the
United States, or a subsidiary of such a firm or corporation;
D. A public international organization in which the United States participates by treaty or statute;
E. A religious denomination having a bona fide organization in the United States, if the employment abroad involves
the person’s performance of priestly or ministerial functions on behalf of the denomination; or
F. A religious denomination or interdenominational missionary organization having a bona fide organization in the
United States, if the person is engaged solely as a missionary.
2. You are living abroad temporarily.
If you are not currently living in the United States, you must provide proof that your trip abroad is temporary and that
you have maintained your domicile in the United States. Examples of proof include:
A. Your voting record in the United States;
B. Records of paying U.S. state or local taxes;
C. Having property in the United States;
D. Maintaining bank or investment accounts in the United States;
E. Having a permanent mailing address in the United States; or
F. Other proof such as evidence that you are a student studying abroad or that a foreign government has authorized a
temporary stay.

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3. You intend in good faith to reestablish your domicile in the United States no later than the date of the intending
immigrant’s admission or adjustment of status.
Item Number 6. Date of Birth. Provide your date of birth in the mm/dd/yyyy format.
Item Numbers 7. - 9. Location of Birth. Provide the city or town, state or province, and country of your birth.
Item Number 10. U.S. Social Security Number (Required). The Immigration and Nationality Act (INA) section
213A(i) requires you to include your U.S. Social Security Number on Form I-864. If you do not have a U.S. Social
Security Number, you must obtain one before executing Form I-864. If you do not provide your information, USCIS
cannot accept your Form I-864, and the intending immigrants may not immigrate to the United States. USCIS may use
your U.S. Social Security Number to verify and, if necessary, to enforce your obligations under Form I-864.

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Item Numbers 11.a. - 11.c. Citizenship or Residency. You must provide proof that you are a U.S. citizen, U.S. national,
or lawful permanent resident for joint and substitute sponsors and for relatives of employment-based immigrants who
file Form I-864. Petitioning relatives who have already filed proof of their citizenship or immigration status with Form
I-129F, Form I-130, Form I-600, or Form I-600A do not need to submit proof of their status with this affidavit.
1. Proof of U.S. citizen or U.S. national status includes a copy of your birth certificate, certificate of naturalization,
certificate of citizenship, consular report of birth abroad to U.S. citizen parents, or a copy of the biographic data page
of your U.S. passport.
2. Proof of lawful permanent resident status includes a photocopy of both sides of the Permanent Resident Card or Alien
Registration Receipt Card (Form I-551), or a photocopy of an unexpired temporary Form I-551 stamp in either a
foreign passport or DHS Form I-94 Arrival-Departure Record.
3. If applicable, also provide the sponsor’s A-Number in Item Number 12.

Item Number 12. Sponsor’s Alien Registration Number (if any). An Alien Registration Number (A-Number) is a
number assigned by the former INS or USCIS. People with A-Numbers can locate the number on their INS or USCISissued documentation.
Item Number 13. Sponsor’s USCIS Online Account Number (if any). If you (the sponsor) have previously filed an
application, petition, or request using the USCIS online filing system (previously called USCIS Electronic Immigration
System (USCIS ELIS)), provide the USCIS Online Account Number you were issued by the system. You can find your
USCIS Online Account Number by logging in to your account and going to the profile page. If you previously filed
certain applications, petitions, or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS
Online Account Access Notice issuing you a USCIS Online Account Number. If you received such a notice, your USCIS
Online Account Number can be found at the top of the notice. If you were issued a USCIS Online Account Number, enter
it in the space provided. The USCIS Online Account Number is not the same as an A-Number.
Item Number 14. Military Service. Select “Yes” if you are the sponsor and on active duty in the U.S. Army, Marines,
Navy, Air Force, or Coast Guard, other than for training. If you provide evidence that you are currently on active duty in
the U.S. Armed Forces and you are sponsoring your spouse and/or minor child, you will need to demonstrate income at
only 100 percent of the poverty level for your household size, instead of at 125 percent of the poverty level. (See Form
I-864P, Poverty Guidelines, for information on the poverty levels.) Select “No” if you are not on active duty in the U.S.
Armed Forces.
Part 5. Sponsor’s Household Size
Add together the number of persons for whom you are financially responsible. Some of these persons may not be residing
with you. Make sure you do not count any individual more than once. In some cases the same person could fit into two
categories. For example, your spouse, whom you would enter in Item Number 3., might also be a lawful permanent
resident for whom you have already sponsored using Form I-864 (Item Number 6.). If you included your spouse in Item
Number 3., do not include him or her again in Item Number 6.
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Item Number 1. Provide the number you entered in Part 3., Item Number 29. If you or someone else is completing
Form I-864 on a computer, this box will auto-populate.
Item Number 2. This field is auto-populated to “1.”
Item Number 3. Type or print “1” if you are married. Type or print “0” if you are not married.
Item Number 4. Type or print the number of unmarried children you have who are under 21 years of age, even if you do
not have legal custody of these children. You may exclude any unmarried children under 21 years of age, if these children
have reached majority under the law of their place of domicile and you do not claim them as dependents on your Federal
income tax returns.

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Item Number 5. Type or print the number of any other dependents. You must include each and every person whom
you have claimed as a dependent on your most recent Federal income tax return, even if that person is not related to you.
Even if you are not legally obligated to support that person, you must include the person if, in fact, you did support that
person and claimed the person as a dependent.
Item Number 6. Type or print the number of lawful permanent residents whom you have executed Form I-864,
Form I-864A, or Form I-864EZ, and for whom the support obligation has not ended. Do not include anyone for
whom your obligation to support has ended through the sponsored immigrant’s acquisition of U.S. citizenship, death,
abandonment of lawful permanent residence in the United States, acquisition of 40 quarters of earned or credited work in
the United States, or grant of adjustment of status on a new basis while in removal proceedings based on a new affidavit of
support, if one is required.
Item Number 7. Household Size. Add together Part 5., Item Numbers 1. - 6. and type or print the number in the space
provided. If you or someone else is completing Form I-864 on a computer, this box will auto-populate.
Part 6. Previously Executed Form I-864, Form I-864EZ, or Form I-864A

Item Number 1. Select “Yes” if you have executed Form I-864, Form I-864EZ, or Form I-864A for any individuals other
than the intending immigrant listed on this form. Select “No” if you have never filed Form I-864, Form I-864EZ, or Form
-864A on behalf of any other individual.
Item Number 2. If you selected “Yes” to Part 6., Item Number 1., type or print the total number of individuals for
whom you have previously submitted Form I-864, Form I-864EZ, or Form I-864A and for whom your sponsorship has not
ended. Include all immigrants for whom you have executed Form I-864, Form I-864EZ, or Form I-864A who have been
approved for lawful permanent residence status including those whose Form I-864, Form I-864EZ, or Form I-864A is still
pending.
NOTE: Your support obligation has ended for a sponsored immigrant if:
1. The individual became a United States citizen;
2. The individual is currently a lawful permanent resident that has worked or can be credited with 40 qualifying quarters
of coverage;
3. The individual abandoned or lost his or her lawful permanent resident status;
4. The individual is deceased;
5. You are deceased; or
6. The individual is obtaining a new grant of adjustment of status while in removal proceedings based on a new affidavit
of support, if one is required.

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Item Numbers 3a. - 8. Sponsored Individuals. If you have sponsored any other individuals using Form I-864, Form
I-864EZ, or have previously executed a Form I-864A, you should list the names and other requested information in the
spaces provided in Item Numbers 3.a. - 8.
Item Number 9. Indicate whether or not you have had to reimburse an agency for any means-tested public benefits
issued to a sponsored immigrant as part of your support obligation as a sponsor or household member. If you answer
“Yes,” indicate the name of the agency and the amount you were required to reimburse in Part 12. Additional
Information. Attach evidence that you have fully reimbursed the agency with the amount owed.
Item Number 10. Indicate whether or not you have had a judgment entered against you for failing to fulfill your support
obligation under Form I-864, Form I-864EZ, or Form I-864A. If you answer “Yes,” provide a certified copy of the
judgment against you.

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Part 7. Sponsor’s Employment and Income

Item Numbers 1. - 6. Sponsor’s Employment. Select all the boxes that apply to you. You, as the sponsor, may not rely
on any income accrued or earned from unlawful enterprises or unlawful activities, such as proceeds from illegal gambling
or drug sales, to meet the income requirement even if federal income taxes were paid on that income.
Item Number 7. Current Individual Annual Income. Type or print your current, individual, earned or retirement,
annual income that you are using to meet the requirements of this affidavit and indicate the total in the space provided.
You may include evidence supporting your claim about your expected income for the current year if you believe that
submitting this evidence will help you establish ability to maintain sufficient income. You are not required to submit this
evidence, however, unless specifically instructed to do so by a U.S. Government official. For example, you may include
a recent letter from your employer, showing your employer’s address and telephone number, and indicating your annual
salary. You may also provide pay stubs showing your income for the previous six months. If your claimed income
includes alimony, child support, dividend or interest income, or income from any other source, you may also include
evidence of that income.
Item Numbers 8. - 16. Sponsor’s Income. This section is used to determine the sponsor’s household income. If your
individual annual income listed in Item Number 7. is greater than 125 percent (or 100 percent if you are on active duty
in the U.S. Armed Forces and sponsoring your spouse or child) of the Federal Poverty Guidelines for your household size
from Part 5., Item Number 7., you do not need to include any other household member’s income. See Form I-864P for
information on the Federal Poverty Guidelines.
To determine the filing requirements for your relatives included in Part 7., Item Numbers 8. - 13., follow the instructions
below.
1. If you included the income of your spouse listed in Part 5., Item Number 3., he or she must be over 18 years of age
and must execute Form I-864A.
2. If you included the income of the intending immigrant who is your spouse (he or she would be counted in
Part 5., Item Number 1.), you must provide evidence that his/her income will continue from the current source after
obtaining lawful permanent resident status. He or she does not need to execute Form I-864A unless he or she has
accompanying children.
3. If you included the income of the intending immigrant who is not your spouse, (he or she would be counted on
Part 5., Item Number 1.), evidence that his or her income will continue from a lawful source after obtaining lawful
permanent resident status must be provided and the intending immigrant must provide evidence that he or she is living
in your residence. He or she does not need to execute Form I-864A, unless he or she has an accompanying spouse or
children.
NOTE: If you have listed additional household members in Part 12. Additional Information, you must include their
income and information when answering Item Numbers 14. - 16. when applicable.

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Item Numbers 17. - 19. Federal Income Tax Return Information. You must provide either Internal Revenue Service
(IRS)-issued certified copies or transcripts of your Federal individual income tax return for the three most recent taxable
years. Photocopies are not acceptable.
Do not submit copies of your state income tax returns. Do not submit any tax returns that you filed with any foreign
government unless you claim that you were not required to file a Federal individual income tax return with the United
States Government and you wish to rely on the foreign return solely to establish the amount of your income that is not
subject to tax in the United States.
If you selected Part 7., Item Number 4. that you are self-employed, you should have completed one of the following
forms with your Federal income tax return: Schedule C (Profit or Loss from Business), Schedule D (Capital Gains),
Schedule E (Supplemental Income or Loss), or Schedule F (Profit or Loss from Farming). You must include each and
every Form 1040 Schedule, if any, that you filed with your Federal income tax return.

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As stated previously, you must submit IRS-issued certified copies or transcripts of your Federal individual income tax
return for the three most recent tax years. If you were required to file a Federal income tax return for that tax year but
did not do so, you must file all late returns with the IRS and attach an IRS-issued certified copy or transcript of your
late return and submit it with Form I-864. If you were not required to file a Federal income tax return under U.S. tax
law because your income was too low, attach a typed or printed explanation. If you were not required to file a Federal
income tax return under U.S. tax law for any other reason, attach a typed or printed explanation including evidence of the
exemption and how you are subject to it. Residence outside of the United States does not exempt U.S. citizens or lawful
permanent residents from filing a U.S. Federal income tax return. See Filing Requirements in the IRS Form 1040 Filing
Instructions to determine whether you were required to file.
For purposes of this affidavit, the line for Total Income on IRS Forms 1040 and 1040A will be considered when
determining income. For persons filing IRS Form 1040 EZ, the line for adjusted gross income will be considered.
Obtaining Tax Transcripts. You may use IRS Form 4506-T to request tax transcripts from the IRS, or Form 4506 to
request certified copies of your tax returns. Complete IRS Form 4506-T or IRS Form 4506 with the ending date for each
of your three most recent tax years listed in Item Numbers 18.a. - 18.c. Follow all instructions for completing and filing
Form 4506-T or Form 4506 with the IRS.
NOTE: Do not leave the boxes for Item Number 18.a. blank. 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.
Item Numbers 20.a. - 25. Sponsor’s Bank Account Information. Provide the account type, name(s) of all account
holders, the name of the banking institution, the number of the checking or savings account, and the corresponding routing
number for the account that you are using to establish your financial eligibility.
Item Number 26. Means-Tested Public Benefits Information. Indicate whether or not you have received any meanstested public benefits within the 36-month period before executing this Form I-864. A means-tested public benefit is any
public benefit funded in whole or in part by funds provided by the Federal Government that has been determined to be a
Federal means-tested public benefit under the Personal Responsibility and Work Opportunity Reconciliation Act of 1996,
Public Law 104-193, or any public benefit for which no Federal funds are provided that a state, state agency, or political
subdivision of a state has determined to be a means-tested public benefit. No benefit shall be considered to be a meanstested public benefit if it is a benefit described in sections 401(b), 411(b), 422(b) or 423(d) of Public Law 104-193.
NOTE: If you are the petitioning sponsor and have received any means-tested public benefits within 36 months of
executing this Form I-864, the intending immigrant will be required to file a Form I-864 executed by a joint sponsor to
avoid being found inadmissible under section 212(a)(4) of the INA. This requirement to have a joint sponsor execute
a Form I-864 due to receipt of means-tested public benefits, only applies to means-tested public benefits that you, the
petitioning sponsor, received on or after [EFFECTIVE DATE OF RULE].

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This requirement to have a joint sponsor execute a Form I-864 due to receipt of means-tested public benefits also does not
apply to an intending immigrant if the petitioning sponsor who received means-tested public benefits within 36 months
of executing this Form I-864 is on active duty (other than active duty for training) in the U.S. Armed Forces, and is
sponsoring his or her spouse or child under section 204 of the INA.
Item Number 27. Credit Report and Credit Score. You must provide a copy of a U.S. credit report and credit score
generated within the last 12 months prior to the date of submission, if available, with your Form I-864.
You can obtain a free credit report once a year under the Fair Credit Reporting Act from each one of the three nationwide
credit reporting agencies, Equifax, Experian, and TransUnion. You are only required to provide one credit report from any
of the three nationwide credit reporting agencies. See https://www.usa.gov/credit-reports for more information.

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If there are any errors in your credit report, you should provide evidence from the nationwide credit reporting agency
that demonstrates that you reported the error and that the error is under investigation or has been resolved. If you have
any negative history in your credit report, you may provide an explanation in the designated area of this form. Negative
credit history may include delinquent accounts, debt collections, charge-offs (delinquent accounts deemed unlikely to be
collected), repossession, foreclosure, judgments, tax liens, or bankruptcy on your credit report.
If you do not have a credit report or credit score, provide documentation that demonstrates that you do not have a credit
report or score with a credit bureau. You may provide evidence of continued payment of bills if there is no credit report or
credit score.
Part 8. Use of Assets to Supplement Income (Optional)

Only complete Part 8. if you need to use the value of assets to meet the income requirements. If your Current Annual
Household Income (indicated in Part 7., Item Number 14.) is equal to or more than needed to meet the income
requirement as shown by the current Federal Poverty Guidelines (Form I-864P) for your household size (indicated in
Part 5., Item Number 7.), you do not need to complete Part 8. If your total household income does not meet the
requirement, you may submit evidence of the value of your assets, the sponsored immigrant’s assets, and/or assets of your
spouse who, is not the intending immigrant provided he or she executes a Form I-864A. The value of assets of all of these
persons may be combined in order to meet the necessary requirement.
Only assets that can be converted into cash within one year may be included. The owner of the asset must include a
description of the asset, proof of ownership, and the basis for the owner’s claim of its net cash value.
You may include the net value of your home as an asset. The net value of the home is the appraised value of the home,
minus the sum of any and all loans secured by a mortgage, trust deed, or other lien on the home. If you wish to include
the net value of your home, then you must include documentation demonstrating that you own it, a recent appraisal by a
licensed appraiser, and evidence of the amount of any and all loans secured by a mortgage, trust deed, or other lien on the
home. You may not include the net value of an automobile unless you show that you have more than one automobile, and
at least one automobile is not included as an asset.
Item Numbers 1. - 4. Assets. To use your own assets, you must complete Part 8., Item Numbers 1. - 4. and submit
corresponding evidence with this affidavit. Supporting evidence must be attached to establish location, ownership, date of
acquisition, and value of any real estate holding.
Item Numbers 5.a. - 5.b. Household Member’s Assets. To use the assets of your spouse, your spouse must reside with
you and have executed a Form I-864A with accompanying evidence of assets. Form I-864A and accompanying evidence
of assets is submitted with Form I-864.
Item Numbers 6. - 9. Assets of the Intending Immigrant. You may use the assets of the intending immigrant
regardless of where he or she resides. The intending immigrant must provide evidence of such assets with this affidavit.
Add together Item Numbers 6. - 8. and type or print the total number in Item Number 9. Form I-864A is not required to
document the intending immigrant’s assets.

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Item Number 10. Total Value of Assets. In order to qualify based on the value of your assets, the total value of your
assets must equal at least five times the difference between your total household income and the current Federal Poverty
Guidelines for your household size. However, if you are a U.S. citizen and you are sponsoring your spouse or child
age 18 years of age or older, the total value of your assets must only be equal to at least three times the difference. If
the intending immigrant is an orphan or Convention adoptee who is considered to be coming to the United States for
adoption, the total value of your assets need only equal the difference.
Example of How to Use Assets: If you are petitioning for a parent and the poverty line for your household size is
$22,062 and your current income is $18,062, the difference between your current income and the poverty line is $4,000.
In order for assets to help you qualify, the combination of your assets, plus the assets of your spouse who executes Form
I-864A, plus any available assets of the sponsored immigrant, would have to equal five times this difference (5 x $4,000).
In this case, you would meet the income requirements if the net value of the assets equaled at least $20,000.

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Part 9. Sponsor’s Contract, Statement, Contact Information, Declaration, Certification, and Signature
Read the contract carefully, then sign and date the affidavit. If you do not sign and date the affidavit, the intending
immigrant you are sponsoring cannot be issued a visa or be granted adjustment of status.
Item Numbers 1.a. - 6.b. Select the appropriate box to indicate whether you read this affidavit yourself or whether you
had an interpreter assist you. If someone assisted you in completing the affidavit, select the box indicating that you used
a preparer. Further, you must sign and date your affidavit and provide your daytime telephone number, mobile telephone
number (if any), and email address (if any). Every affidavit MUST contain the signature of the sponsor (or parent or legal
guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.
Part 10. Interpreter’s Contact Information, Certification, and Signature

Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this affidavit to
you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and
address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone
number (if any), and his or her email address (if any). The interpreter must sign and date the affidavit.
Part 11. Contact Information, Declaration, and Signature of the Person Preparing this Affidavit, if Other Than the
Sponsor
Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your affidavit, if other
than you, the sponsor. If the same individual acted as your interpreter and your preparer, that person should complete
both Part 10. and Part 11. If the person who completed this affidavit is associated with a business or organization,
that person should complete the business or organization name and address information. Anyone who helped you
complete this affidavit MUST sign and date the affidavit. A stamped or typewritten name in place of a signature is not
acceptable. If the person who helped you prepare your affidavit is an attorney or accredited representative, and his or her
representation extends beyond preparation of this affidavit, he or she may be obliged to also submit a completed Form
G-28, Notice of Entry of Appearance as Attorney or Accredited Representative or G-28I, Notice of Entry of Appearance as
Attorney In Matters Outside the Geographical Confines of the United States, along with your affidavit.
Part 12. Additional Information
Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this affidavit, use the
space provided in Part 12. Additional Information. If you need more space than what is provided in Part 12., you may
make copies of Part 12. to complete and file with your affidavit, 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.
We recommend that you print or save a copy of your completed affidavit to review in the future and
for your records.
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Specific Requirements
Who Executes and Signs Form I-864?
A sponsor executes Form I-864. A sponsor is required to be at least 18 years of age and domiciled in the United States,
or its territories or possessions (See Part 4. Information About You (Sponsor) section of these Instructions for more
information on domicile). The petitioning sponsor must execute Form I-864, even if a joint sponsor also executes an
I-864 to meet the income requirement. The list below identifies who must become sponsors by executing a Form I-864,
when it is required.
1. The U.S. citizen, lawful permanent resident, or U.S. national who filed Form I-129F, Petition for Alien Fiancé(e), for a
fiancé(e); Form I-130, Petition for Alien Relative, for a family member; Form I-600, Petition to Classify Orphan as an
Immediate Relative, for an orphan; or Form I-800, Petition to Classify Convention Adoptee as an Immediate Relative,
for a Convention adoptee.

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2. The U.S. citizen, lawful permanent resident, or U.S. national who filed Form I-140, Immigrant Petition for Alien
Worker, for a spouse, parent, son, daughter, or sibling who:
A. Has a significant ownership interest (five percent or more) in the business which filed the employment-based
immigrant visa petition; or
B. Is related to the intending immigrant as a spouse, parent, son, daughter, or sibling.
What Are the Income Requirements?

To qualify as a sponsor, you must demonstrate that your annual income is at least 125 percent of the current Federal
Poverty Guidelines for your household size. The Federal poverty line, for purposes of this affidavit, is updated annually
and can be found on Form I-864P, Poverty Guidelines, on the USCIS website at www.uscis.gov.
If you are on active duty (other than active duty for training) in the U.S. Armed Forces, including the Army, Marines,
Navy, Air Force, or Coast Guard, and you are sponsoring your spouse or minor child, you only need to have an income of
100 percent of the Federal Poverty Guidelines for your household size. This provision does not apply to joint sponsors
and substitute sponsors. Joint sponsors and substitute sponsors are subject to the 125 percent income requirement.
If you have received any means-tested public benefits within 36 months of executing this Form I-864, you will be
considered unable to meet the income requirements of a sponsor under section 213A(f)(6) of the INA. If you are the
petitioning sponsor or substitute sponsor, you are still required to execute a Form I-864, but the intending immigrant will
be required to submit an additional Form I-864, executed by a joint sponsor who has not received any means-tested public
benefits within 36 months of executing that Form I-864, to avoid being found inadmissible under section 212(a)(4) od the
INA.
Note: Only means-tested public benefits received on or after [EFFECTIVE DATE OF RULE] are subject to this
requirement.
If you have previously defaulted on any support or reimbursement obligation, as shown by a court judgment requiring
you to repay a means-tested public benefit used by a sponsored immigrant during the period in which your support
obligation was in effect, you will be considered unable to meet the income requirements for this Form I-864. If you are
the petitioning sponsor or substitute sponsor, you are still required to execute a Form I-864, but the intending immigrant
will be required to submit an additional Form I-864 executed, by a joint sponsor who has not received any means-tested
benefits on or after [EFFECTIVE DATE OF RULE] within 36 months of executing that Form I-864, to avoid being found
inadmissible under section 212(a)(4) of the INA.
How Do I Count My Household Size?

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Your household size includes yourself and the following individuals, no matter where they live: your spouse, any
dependent children under 21 years of age, any other dependents listed on your most recent Federal income tax return, all
intending immigrants being sponsored on this Form I-864, any individuals for whom you executed a Form I-864, Form
I-864EZ, or Form I-864A that are not yet in effect, and any immigrants for whom you executed a Form I-864, Form
I-864EZ, or Form I-864A and your support obligation remains in effect.
What if I Cannot Meet the Income Requirements?
If your income alone is not sufficient to meet the income requirement for your household size, the intending immigrant
will be ineligible for an immigrant visa or adjustment of status, unless the requirement can be met using any combination
of the following:

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1. Income from your spouse who executed Form I-864A;

2. Income from the intending immigrant who executed Form I-864A, if that income will continue from the same source
after immigration, and if the intending immigrant is currently living in your residence. If the intending immigrant
is your spouse, his or her income can be counted regardless of current residence, but it must continue from the same
source after he or she becomes a lawful permanent resident;
3. The value of your assets, the assets of your spouse if he or she has executed Form I-864A, or the assets of the
intending immigrants; or
4. A joint sponsor who executed a separate Form I-864 whose income and/or assets equal at least 125 percent of the
Federal Poverty Guidelines. (See the What is a Joint Sponsor section of these Instructions for more information.)
How Can My Relatives and Dependents Help Me Meet the Income Requirements?

You may use the income of your spouse if he or she executes Form I-864A and is willing to be jointly responsible with
you for the intending immigrants you are sponsoring.
The income of your spouse can be used to help you meet the income requirements if they execute Form I-864A, and if
your spouse is at least 18 years of age when he or she executes Form I-864A.
Can the Intending Immigrant Help Me Meet the Income Requirements?

If certain conditions are met, an intending immigrant’s income can be counted to help you meet the income requirement.
If the intending immigrant is your spouse, his or her income can be included if it will continue from the same source after
he or she obtains lawful permanent resident status.
If the intending immigrant is another relative, there are two requirements:
1. The income must be accrued or earned from employment in a lawful enterprise or other lawful source and from
employment that is authorized under 8CFR 274a.12 and will continue from the same source after he or she obtains
lawful permanent resident status; and
2. The intending immigrant must currently live with you in your residence.
Evidence must be provided to support both requirements, however, an intending immigrant whose income is being used to
meet the income requirement does not need to execute Form I-864A unless the intending immigrant has a spouse and/or
children immigrating with him or her. In this instance, the Form I-864 relates to support for the spouse and/or children.
Does Receipt of Means-Tested Public Benefits Disqualify Me From being a Sponsor?

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Not necessarily. Receipt of means-tested public benefits does not disqualify you from being a petitioning sponsor or
substitute sponsor, but you cannot include means-tested public benefits as income for the purposes of meeting the income
requirements. Additionally, unless you are a sponsor on active duty in the U.S. Armed Forces sponsoring a spouse or
child, if you have received any means-tested public benefits within the last 36 months of executing this Form I-864,
the intending immigrant will be found inadmissible under section 212(a)(4) of the INA unless the intending immigrant
submits a separate Form I-864 executed by a joint sponsor who has not received any means-tested public benefits within
36 months of executing that Form I-864. Receipt of means-tested public benefits within the last 36 months will, however,
disqualify you from being a joint sponsor.
How Can I Use Assets to Qualify?

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You may use assets to supplement income if the consular or immigration officer is convinced that the monetary value of
the asset could reasonably be made available to support the sponsored immigrant and converted to cash within one year
without undue harm to the sponsor or his or her family members. You may not include an automobile unless you show
that you own at least one working automobile that you have not included.
What is a Joint Sponsor?

If the petitioning sponsor cannot meet the income requirements, a joint sponsor who can meet the requirements
independently may execute Form I-864 to sponsor all or some of the family members.
A joint sponsor can be any U.S. citizen, U.S. national, or lawful permanent resident, who is at least 18 years of age,
domiciled in the United States, or its territories or possessions, and willing to be held jointly liable with the petitioner
for the support of the intending immigrant. A joint sponsor does not have to be related to the petitioning sponsor or the
intending immigrant.
If the first joint sponsor executes Form I-864 for some rather than all the family members, a second qualifying joint
sponsor will be required to sponsor the remaining family members. There may be no more than two joint sponsors. A
joint sponsor must be able to meet the income requirements for all the persons he or she is sponsoring without combining
resources with the petitioning sponsor or a second joint sponsor. Any dependents applying for an immigrant visa or
adjustment of status more than six months after immigration of the intending immigrants must be sponsored by the
petitioner but may be sponsored by an original joint sponsor or a different joint sponsor.
NOTE: Even if one or more Form I-864s are submitted for an intending immigrant, the petitioning sponsor remains
legally accountable for the financial support of the sponsored immigrant along with the joint sponsors. The petitioning
sponsor must execute a Form I-864 for the intending immigrant even if a joint sponsor will be used. The petitioning
sponsor must also provide his or her Federal income tax return for the three most recent tax years with supporting tax
documents unless otherwise not required to file a Federal income tax return for the three most recent tax years.
What Is a Substitute Sponsor?
A substitute sponsor is a sponsor who is executing Form I-864 on behalf of an intending immigrant whose original Form
I-130 petitioner has died after Form I-130 was approved, but before the intending immigrant obtained legal permanent
residence.
The substitute sponsor must be related to the intending immigrant in one of the following ways: spouse, parent, motherin-law, father-in-law, sibling, child (at least 18 years of age), son, daughter, son-in-law, daughter-in-law, brother-in-law,
sister-in-law, grandparent, grandchild, or legal guardian. The substitute sponsor must also be a U.S. citizen, lawful
permanent resident, or U.S. national.
If you are a substitute sponsor, you must indicate that you are related to the intending immigrant in one of the ways listed
above and include evidence proving that relationship. The beneficiary must also file this affidavit along with a typed
or printed statement explaining the reasons why the Form I-130 visa petition should be reinstated, having been revoked
following the petitioner’s death. The beneficiary must also include a copy of the Form I-130 approval notice.
How Long Does My Obligation as a Sponsor Continue?

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Your obligation to support the immigrants you are sponsoring in this Affidavit of Support will continue until the sponsored
immigrant becomes a U.S. citizen, or can be credited with 40 qualifying quarters of work in the United States.
Although 40 qualifying quarters of work (credits) generally equates to 10 years of work, in certain cases the work of a
spouse or parent adds qualifying quarters. The Social Security Administration can provide information on how to count
qualifying quarters (credits) of work.
The obligation also ends if you or the sponsored immigrant dies or if the sponsored immigrant ceases to be a lawful
permanent resident. Divorce does not end the sponsorship obligation.
Do I Need to Execute a Separate Affidavit for Each Family Member?

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You must execute a Form I-864 Affidavit of Support for each intending immigrant you are sponsoring. You may submit
photocopies if you are sponsoring more than one intending immigrant listed on the same affidavit of support.
Separate affidavits of support are required for intending immigrants for whom different Form I-130, Form I-600, or
Form I-800 family-based petitions were filed. For instance, if you are sponsoring both parents, each will need an original
affidavit of support and accompanying documentation since you were required to submit separate Form I-130 visa
petitions for each parent. Often a spouse or minor children obtain visas or adjust status as dependents of a relative, based
on the same visa petition. If you are sponsoring such dependents, you only need to provide a photocopy of the original
Form I-864, as long as these dependents are immigrating at the same time as the principal immigrant or within six months
of the time he or she immigrates to the United States. You do not need to provide copies of the supporting documents for
each of the photocopied Form I-864s.

What Is the Filing Fee?

There is no filing fee to file Form I-864 with USCIS. For information on processing fees when filing with DOS, see
www.travel.state.gov.

Where To File?

Please see our website at www.uscis.gov/i-864 or call our National Customer Service Center at 1-800-375-5283 for the
most current information about where to file this affidavit. For TTY (deaf or hard of hearing) call: 1-800-767-1833. For
information on filing with DOS, see www.travel.state.gov.

Address Change
If you are a sponsor who is not a U.S. citizen or U.S. national, you must notify USCIS of your new address within 30 days
of moving from your previous residence. To do this you must complete and file Form I-865, Notice of Change of Address
for Sponsors and Household Members.
This requirement does not relieve a lawful permanent resident sponsor from filing a change of address within 10 days of
the change. For information on filing a change of address go to the USCIS website at www.uscis.gov/addresschange or
contact the National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call:
1-800-767-1833.
If you are a sponsor who is a U.S. citizen or a U.S. national, you must notify USCIS of your new address within 30 days
of moving from your previous address. To do this, you must complete and file Form I-865, Notice of Change of Address
for Sponsors and Household Members. For information on filing a change of address go to the USCIS website at
www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY
(deaf or hard of hearing) call: 1-800-767-1833. For information on reporting a change of address to DOS, see
www.travel.state.gov.
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NOTE: Do not complete Form I-865 at the same time that you complete Form I-864. You should complete and submit
Form I-865 to USCIS only when the address you indicated on the original Form I-864 has changed.
This requirement does not relieve a lawful permanent resident sponsor from filing a change of address within 10 days of
the change. For information on filing a change of address go to the USCIS website at www.uscis.gov/addresschange or
contact the National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call:
1-800-767-1833.
NOTE: Do not submit a change of address request to the USCIS Lockbox facilities because the Lockbox does not
process change of address requests.

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Processing Information

Initial Processing. Once USCIS or DOS accepts your affidavit we will check it for completeness. If you do not
completely fill out this affidavit, you will not establish a basis for your eligibility and USCIS or DOS may reject or deny
your affidavit.
Requests for More Information. We may request that you provide more information or evidence to support your
affidavit. We may also request that you provide the originals of any copies you submit. If USCIS requests an original
document from you, it will be returned to you after USCIS determines it no longer needs your original.
Requests for Interview. We may request that you appear at a USCIS office for an interview based on your affidavit.
At the time of any interview or other appearance at a USCIS office, we may require that you provide your fingerprints,
photograph, and/or signature to verify your identity and/or update background and security checks.

USCIS Forms and Information

To ensure you are using the latest version of this affidavit, visit the USCIS website at www.uscis.gov where you can
obtain the latest USCIS forms and immigration-related information. If you do not have internet access, you may order
USCIS forms by calling the USCIS Contact Center at 1-800-375-5283. The USCIS Contact Center provides information
in English and Spanish. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at
www.uscis.gov. Select “Schedule an Appointment” and follow the screen prompts to set up your appointment. Once you
finish scheduling an appointment, the system will generate an appointment notice for you. If filing with DOS, see
www.travel.state.gov.

Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-864, we will
deny your Form I-864 and may deny any other immigration benefit. In addition, you will face severe penalties provided
by law and may be subject to criminal prosecution.
The U.S. Government may pursue verification of any information provided on or in support of this affidavit, including
employment, income, or assets with the employer, financial or other institutions, the IRS, or the Social Security
Administration. If you include in this affidavit of support any information that you know to be false, you may be liable for
criminal prosecution under the laws of the United States.

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If you fail to provide notice of your change of address, as required by 8 U.S.C. 1183a(d) and 8 CFR 213a.3, you may be
liable for the civil penalty established by 8 U.S.C. 1183a(d)(2). The amount of the civil penalty will depend on whether
you failed to provide this notice because you were aware that the immigrants you sponsored had received Federal, state, or
local means-tested public benefits.
If the failure to report your change of address occurs with knowledge that the sponsored immigrant received meanstested public benefits (other than benefits described in section 401(b), 403(c)(2), or 4ll(b) of the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996, which are summarized in Part 8. Sponsor’s Contract, Statement,
Contact Information, Declaration, Certification, and Signature of Form I-864) such failure may result in a fine of not
less than $2,000 or more than $5,000. Otherwise, the failure to report your change of address may result in a fine not less
than $250 or more than $2,000.

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DHS Privacy Notice

AUTHORITIES: The information requested on this affidavit, and the associated evidence, is collected under the
Immigration and Nationality Act (INA) sections 212(a)(4) and 213A.
PURPOSE: The primary purpose for providing the requested information on this affidavit is for you, the sponsor, to
demonstrate that you meet the eligibility requirements to execute this contract between a sponsor and the U.S. government
that imposes on the sponsor, a legally enforceable obligation to support to support a sponsored alien until the obligation
terminates. An alien applicant who fails to submit a sufficient Affidavit of Support Under Section 213A of the INA, when
statutorily required, will be found inadmissible under INA section 212(a)(4). DHS uses the information you provide as
part of determining whether or not the adjustment of status applicant or the immigrant visa applicant you are sponsoring is
eligible for the immigration benefit.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information,
including your Social Security number (if applicable), and any requested evidence, may delay a decision on whether the
affidavit is found sufficient to meet the requirements of INA section 213A, and may result in the affidavit being found
insufficient.
ROUTINE USES: DHS may share the information you provide on this affidavit and any additional requested evidence
with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved
routine uses described in the associated published system of records notices [DHS-USCIS-001 – Alien File, Index,
and National File Tracking System, DHS-USCIS-007 - Benefits Information System, DHS-USCIS-018 – Immigration
Boimetric and Background (IBBC) System,] and the published privacy impact assessments [DHS/USCIS/PIA-016a
Computer Linked Application Information Management System and DHS/USCIS/PIA-056 Electronic Immigration
System] which you can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law
enforcement purposes or in the interest of national security.

Paperwork Reduction Act
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection
of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public
reporting burden for this collection of information is estimated at 6.5 hours per response, including the time for reviewing
instructions, gathering the required documentation and information, completing the affidavit, preparing statements,
attaching necessary documentation, and submitting the affidavit. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and
Immigration Services, Regulatory Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW,
Washington, DC 20529-2140; OMB No. 1615-0075. Do not mail your completed Form I-864 to this address.

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Checklist
The following items must be submitted with Form I-864:
For ALL sponsors:
IRS-issued certified copies or transcripts of your individual Federal income tax return for the three most recent tax
years, or a statement and/or evidence describing why you were not required to file. Also include a copy of each and
every Form 1099, Schedule, and any other evidence of reported income. You may submit pay stubs from the most
recent six months and/or a letter from your employer if you believe any of these items will help you qualify.
A copy of a U.S. credit report and credit score generated within the last 12 months prior to the date of submission, if
available, with your Form I-864, or a credit agency report that demonstrates that you do not have a credit report or
score.
For SOME sponsors:

Draft
Not for
Production
08/17/2020

If you are currently self-employed, a copy of your Schedule C, D, E, or F from your most recent Federal income tax
return which establishes your income from your business.
If you are sponsoring more than one intending immigrant listed on the same affidavit of support, photocopies of the
original affidavit of support may be submitted for any additional intending immigrants listed. Copies of supporting
documentation are not required for these family members.
If you are the sponsor and on active duty (other than active duty for training) in the U.S. Armed Forces and are
sponsoring your spouse or child using 100 percent of the Federal Poverty Guidelines, proof of your active military
status.
If you are using the income of your spouse to qualify, and your spouse is not the intending immigrant, an executed
Form I-864A.
If you are using the income of the intending immigrant to qualify and the intending immigrant has accompanying
family members, an executed Form I-864A.
Proof that the intending immigrant’s current employment will continue from the same source if his or her income is
being used.
IRS-issued certified copies or transcripts of their individual Federal income tax return for the three most recent tax
years, or evidence that they were not required to file.
If you use your assets or the assets of your spouse or the intending immigrant to qualify, documentation of assets
establishing location, ownership, date of acquisition, and value. Evidence of any liens or liabilities against these
assets.
A separate Form I-864A for your spouse if using assets, other than for the intending immigrant.
If you are a joint sponsor, substitute sponsor, or the relative of an employment-based immigrant requiring an affidavit
of support, proof of your U.S. citizenship status, lawful permanent resident status, or U.S. national status.
For U.S. citizens or U.S. nationals, a copy of your birth certificate, passport, or certificate of naturalization or
citizenship.
For lawful permanent residents, a copy of both sides of your Form I-551, Permanent Resident Card.
If your legal guardian is signing this Form I-864 for you, the legal guardian must present:
Proof of an appointment as legal guardian of your estate; and
A copy of an order from the appointing court or agency specifically permitting the legal guardian to make your
income and assets available for the support of the sponsored immigrant.

Form I-864 Instructions 03/06/18 

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Form I-864 Instructions 03/06/18 

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