I-134_Copydeck_(PRA-010_U4UVenezuela_10172022v9

Declaration of Financial Support

I-134_Copydeck_(PRA-010_U4UVenezuela_10172022v9

OMB: 1615-0014

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I-134: Review and Submit
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Check your declaration before you submit

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Instructional Text
We will review your declaration to check for accuracy and completeness before you submit
it.

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Notes

We encourage you to provide as many responses as you can throughout the declaration, to
the best of your knowledge. Missing information can slow down the review process after
you submit your declaration.
You can return to this page to review your declaration as many times as you want before
you submit it.
Your fee
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declaration.
A red alert means you have incomplete responses or inconsistent data. You cannot submit
your declaration with any alerts.

Your declaration summary

Review the I-134 form information

Here is a summary of all the information you provided in your declaration.

Next

Make sure you have provided responses for everything that applies to you before you submit
your declaration. You can edit your responses by going to each declaration section using the
site navigation.

(IF PREPARER) Preparer
statement

7.7

Preparer's statement

I am not an attorney or accredited representative but have prepared this declaration on behalf of the individual agreeing to financially support the beneficiary and with that Radio
individual's consent

We also prepared a draft case snapshot with your responses, which you can download
below.
Your preparer must read the statements below and select the statement that applies to him
or her.
If your preparer is an attorney or accredited representative whose representation extends
beyond preparation of this declaration, he or she may be obliged to submit a completed
Notice of Entry of Appearance as Attorney or Accredited Representative (G-28) with your
declaration.

Preparer's certification and signature

I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case does not extend beyond the Radio
preparation of this declaration.
I am an attorney or accredited representative and my representation of the individual agreeing to financially support the beneficiary in this case extends beyond the
Radio
preparation of this declaration.
By my signature, I certify, under penalty of perjury, that I prepared this declaration at the request of the individual agreeing to financially support the beneficiary (which is
the beneficiary if on behalf of him or herself). The individual agreeing to financially support the beneficiary then reviewed this completed declaration and informed me that
he or she understands all of the information contained in, and submitted with, his or her declaration, including the Certification of the Individual Agreeing to Financially
Support the Beneficiary, and that all of this information is complete, true, and correct. I completed this declaration based only on filing information that the individual
agreeing to financially support the beneficiary provided to me or authorized me to obtain or use.

Your preparer must read and agree to the certification below.

As the declarant's preparer, you must sign on paper and provide your signature page to the declarant. Follow these steps:
1. Download the Preparer Signature page
2. Print the Preparer Signature page
3. Read and sign the Preparer Signature page
4. Give the signed Preparer Signature page to the declarant

(IF PREPARER) Preparer
signature
(IF INTERPRETER)
Interpreter certification

7.8

Preparer's signature upload

6.7

Interpreter's certification and signature

The declarant will need to scan and upload your completed signature page on the next screen.

Upload

I certify, under penalty of perjury, that: I am fluent in English and the language provided in the Getting Started section of this declaration, and I have read to this individual
agreeing to financially support the beneficiary in the identified language every question and instruction on this declaration and his or her answer to every question. The
individual agreeing to financially support the beneficiary informed me that he or she understands every instruction, question, and answer on the declaration, including the
Certification of the Individual Agreeing to Financially Support the Beneficiary, and has verified the accuracy of every answer.

Scan and upload your preparer's completed signature page below.
Your interpreter must read and agree to the certification below.

As the declarant's interpreter, you must sign on paper and provide your signature page to the declarant. Follow these steps:
1. Download the Interpreter Signature page
2. Print the Interpreter Signature page
3. Read and sign the Interpreter Signature page
4. Give the signed Interpreter Signature page to the declarant
The declarant will need to scan and upload your completed signature page on the next screen.

(IF INTERPRETER)
Interpreter signature
Statement of the
individual agreeing to
financially support the
beneficiary

Interpreter's signature upload

(IF NO PREPARER AND INTERPRETER Individual
agreeing to financially support the beneficiary's
statement

5.2

Individual agreeing to financially support the
beneficiary's statement regarding the preparer
Individual agreeing to financially support the
beneficiary's statement regarding the interpreter

At my request, the preparer named in the Getting Started section of this declaration prepared this declaration for me based only upon the information I provided or
authorized.
The interpreter named in the Getting Started section of this declaration read to me every question and instruction on this declaration and my answer to every question in
the language I specified in the Getting Started section, a language in which I am fluent, and I understood everything.

Individual agreeing to financially support the
beneficiary's Certification

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

5.1.B

(If "Statement of the
Individual agreeing to
financially support the
beneficiary" is
complete) Signature of
the individual agreeing to
financially support the
beneficiary

I, as the individual agreeing to financially support the beneficiary, certify the following:
I can read and understand English, and have read and understand every question and instruction on this declaration and my answer to every question.

5.1.A

5.6

Upload

Scan and upload your interpreter's completed signature page below.

Checkbox

You must read and agree to the statement below.

MVP

Checkbox

You must read and agree to the statement below.

MVP

Checkbox

You must read and agree to the statement below.

MVP

You must read and agree to the certification below. If you knowingly and willfully falsify or
conceal a material fact or submit a false document with your declaration, we can deny your
declaration and may deny any other immigration benefit. You may also face criminal
prosecution and penalties provided by the law.

I further authorize release of information contained in this declaration, in supporting documents, and in my USCIS or the Department of State records to other entities and
persons where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or
signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my declaration;
2) I understood all of the information contained in, and submitted with, my declaration; and
3) All of this information was complete, true, and correct at the time of filing
I certify, under penalty of perjury, that I provided or authorized all of the information in my declaration, I understand all of the
information contained in, and submitted with, my declaration, and that all of this information is complete, true, and correct.
That this declaration is made by me to assure the U.S. Government that the beneficiary named under the About Beneficiary section will be financially supported while in the
United States.
That I am willing and able to receive, maintain, and support the person named under the About Beneficiary section to better ensure that such persons will have sufficient
financial resources or financial support to pay for necessary expenses for the period of his or her temporary stay in the United States.
I acknowledge that I have read this section, and I am aware of my responsibilities as an individual agreeing to financially support the beneficiary

I have read and agree to the statement and certification of the individual agreeing to financially support the beneficiary.
Individual Agreeing to Financially Support the
Beneficiary's Signature

Checkbox
You must provide your digital signature below by typing your full legal name. If you do not
completely fill out this declaration, or if you do not submit the required documents listed in
the Instructions, we may deny your declaration. We will record the date of your signature
with your declaration.

Required field

[Date of signature]

Review & Submit

I-134: Review and Submit
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Secondary Nav

Tertiary Nav

Paper Form

Question

(If "Statement of the
Individual agreeing to
financially support the
beneficiary" and
"Signature of Individual
Agreeing to Financially
Support the Beneficiary's
Signature" are complete")
Submit

(Successful submission)
(No nav)
(Unsuccessful card
declined) (No nav)

(Unsuccessful submission)
(No nav)

Sub-Question
Submit the I-134

You have successfully submitted Declaration of
Financial Support (I-134)

Field Type

Instructional Text

Help Text

CTA

Once you submit this declaration, you will receive a confirmation with details on any next
steps. We will record the date of your submission with the declaration. Your case status will
be updated on your home page.

Submit the I134

We will contact you if we have any questions or need additional information. You can track
the status of your declaration through your USCIS online account.
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Notes

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submit

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consider removing this copy.

Sign and
submit

Note that there is $0 fee to submit this form,
consider removing this copy.

Review & Submit


File Typeapplication/pdf
File TitleI-134_Copydeck_(PRA-010)_U4UVenezuela_10172022v6.xlsx
Authormrfrank
File Modified2022-10-17
File Created2022-10-17

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