I-526E Immigrant Petition by Regional Center Investor

Immigrant Petition by Standalone Investor, Immigrant Petition by Regional Center Investor

I-526E-014-FRM-NEW-OMBReview-02092023

OMB: 1615-0026

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Immigrant Petition by Regional Center Investor
Department of Homeland Security
U.S. Citizenship and Immigration Services

Classification

Fee Receipt

USCIS
Form I-526E
OMB No. 1615-0026
Expires 07/31/2025

Action Block

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For
USCIS
Use
Only

Priority Date

Remarks

Received
Resubmitted

Relocated Sent
Received

To be completed by an attorney or
BIA-accredited representative (if any).

Select this box if Form G-28 is
attached to represent the
petitioner.

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

► START HERE - Type or print in black ink.

Part 1. Petition Type
Select one box:
1.

This petition is an initial petition

2.

This petition is being filed to amend a previously filed petition
Previous Petition Receipt Number
►

Reasons for Amendment (Select All that Apply)
3.

Termination of Regional Center
Notice Date of Termination:

4.

Has your NCE associated with a new approved regional center?

Yes

No

Have you made a qualifying investment in another NCE?

Yes

No

Have you associated with a new NCE in good standing?

Yes

No

Have you invested additional investment capital to the extent necessary to satisfy remaining job
creation requirements under INA 203(b)(5)(A)(ii)?

Yes

No

NCE or JCE Debarment
Notice Date of Debarment:

Part 2. Information About You
Provide the following information about yourself.
1.

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

3.

A-

2.

USCIS Online Account Number (if any)
►

U.S. Social Security Number (if any)
►

Form I-526E Edition 06/01/22

Page 1 of 16

Part 2. Information About You (continued)
Your Full Name
4.

Family Name (Last Name)

Given Name (First Name)

Middle Name

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Other Names 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.
5.

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

6.

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Other Information
7.

Date of Birth (mm/dd/yyyy)

8.

Gender

Male

Female

9.

City or Town of Birth

10.

State or Province of Birth

11.

Country of Birth

12.

Country(ies) of Citizenship or Nationality (current)

13.

Country(ies) of Citizenship or Nationality (relinquished)

NOTE: If you are a citizen of more than one country or your nationality differs from your citizenship, provide the information in
Part 12. Additional Information.
14.

Country of Last Foreign Residence

Mailing Address
15.

In Care Of Name (if any)

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Form I-526E Edition 06/01/22

Postal Code

Country

ZIP Code
(USPS ZIP Code Lookup)

Page 2 of 16

Part 2. Information About You (continued)
16.

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

Yes

No

If you answered "No" to Item Number 16., provide your physical address in Item Numbers 17.

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Physical Address

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.
17.

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

From (mm/dd/yyyy)

Postal Code

ZIP Code

Country

To (mm/dd/yyyy)
Present

18.

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

From (mm/dd/yyyy)

19.

Postal Code

ZIP Code

Country

To (mm/dd/yyyy)

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

From (mm/dd/yyyy)

Postal Code

ZIP Code

Country

To (mm/dd/yyyy)

Employment History
Provide the last 20 years of your employment history. Also provide any government or military positions held at any time (i.e. even if
older than 20 years). List present employment first. If you need extra space to complete this section, use the space provided in Part
12. Additional Information.
20.

Have you ever been employed?

Yes

No

If you answered “Yes” to Item Number 20., provide the following information for any previous employment.

Form I-526E Edition 06/01/22

Page 3 of 16

Part 2. Information About You (continued)
21.

Employer Name

Street Number and Name

Apt. Ste. Flr. Number

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City or Town

Province

Job Title

From (mm/dd/yyyy)

22.

Postal Code

ZIP Code

Country

To (mm/dd/yyyy)

Employer Name

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Job Title

From (mm/dd/yyyy)

23.

State

Postal Code

ZIP Code

Country

To (mm/dd/yyyy)

Employer Name

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

Province

Postal Code

ZIP Code

Country

Job Title

From (mm/dd/yyyy)

Form I-526E Edition 06/01/22

To (mm/dd/yyyy)

Page 4 of 16

Part 2. Information About You (continued)
Your Entry Into the United States
If you are currently in the United States, you must answer questions 24-33. If you are not currently in the United States, skip to
Part 3.
24.

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Date of Arrival (mm/dd/yyyy)

Place of Arrival or Port-of-Entry
25.

City or Town

27.

I-94 Arrival-Departure Record Number
►

26.

State

28.

Date Period of Authorized Stay Expires/Expired
(mm/dd/yyyy)

29.

Passport Number or Travel Document Number

30.

Country That Issued Passport or Travel Document

31.

Date Passport or Travel Document Expires
(mm/dd/yyyy)

32.

Current Nonimmigrant Status (if applicable)

33.

Date Current Nonimmigrant Status Expires
(mm/dd/yyyy)

Part 3. Information About Your Spouse and Children

List your spouse and all of your children. Also, note if the individual will be applying for a visa abroad or for adjustment of status
as your dependent. If you need additional space to list other children, use Part 12. Additional Information.

Family Member 1
1.

Family Name (Last Name)

2.

Date of Birth (mm/dd/yyyy)

4.

If spouse, Country(ies) of Citizenship (current)

5.

If spouse, Country(ies) of Citizenship (relinquished)

6.

Relationship to You

7.

Applying for Adjustment of Status?

Form I-526E Edition 06/01/22

Given Name (First Name)

Spouse

3.

Middle Name (if applicable)

Country of Birth

Child
Yes

No

8.

Applying for Visa Abroad?

Yes

No

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Part 3. Information About Your Spouse and Children (continued)
Family Member 2
9.

Family Name (Last Name)

Given Name (First Name)

10.

Date of Birth (mm/dd/yyyy)

12.

Relationship to You

13.

Applying for Adjustment of Status?

Middle Name (if applicable)

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Spouse

11.

Country of Birth

Child

Yes

No

14.

Applying for Visa Abroad?

Yes

No

Family Member 3
15.

Family Name (Last Name)

Given Name (First Name)

16.

Date of Birth (mm/dd/yyyy)

18.

Relationship to You

19.

Applying for Adjustment of Status?

Spouse

17.

Middle Name (if applicable)

Country of Birth

Child

Yes

No

20.

Applying for Visa Abroad?

Yes

No

Family Member 4
21.

Family Name (Last Name)

Given Name (First Name)

22.

Date of Birth (mm/dd/yyyy)

24.

Relationship to You

25.

Applying for Adjustment of Status?

Spouse

23.

Middle Name (if applicable)

Country of Birth

Child
Yes

No

26.

Applying for Visa Abroad?

Yes

No

Family Member 5
27.

Family Name (Last Name)

28.

Date of Birth (mm/dd/yyyy)

30.

Relationship to You

31.

Applying for Adjustment of Status?

Form I-526E Edition 06/01/22

Given Name (First Name)

Spouse

29.

Middle Name (if applicable)

Country of Birth

Child
Yes

No

32.

Applying for Visa Abroad?

Yes

No

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Part 3. Information About Your Spouse and Children (continued)
Family Member 6
33.

Family Name (Last Name)

Given Name (First Name)

34.

Date of Birth (mm/dd/yyyy)

36.

Relationship to You

37.

Applying for Adjustment of Status?

Middle Name (if applicable)

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35.

Spouse

Country of Birth

Child

Yes

No

38.

Applying for Visa Abroad?

Yes

No

Part 4. Information About Your Regional Center and Project Application
Select one box:

I have submitted the required initial evidence with my Form I-526E filing.
I will submit the required initial evidence through my myUSCIS account.
1.

What is the receipt number for the regional center's Form I-956F, Application for Approval of an Investment in a Commercial
Enterprise, associated with the offering and project into which you have invested or are actively in the process of investing?

2.

What is the receipt number for the approved Regional Center application upon which your petition is based?

3.

Provide the USCIS New Commercial Enterprise (NCE) Identification Number.

4.

Indicate whether the offering and project in the Form I-956F associated with your petition is based on an investment in the
following (select all that apply):
Rural Area

High Unemployment Area
Infrastructure Project
High Employment Area
None of the Above

Part 5. Information About Your Investment
1.

Enter the amount and date of your investment(s) in the NCE. If you are actively in the process of investing capital in the NCE,
enter the amount and date you anticipate making the investment. If you need additional space, use the space provided in Part
12. Additional Information.
Date of Investment (mm/dd/yyyy)

Amount of Investment
$
$
$
$

Total

Form I-526E Edition 06/01/22

$

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Part 5. Information About Your Investment (continued)
Composition of Your Investment, Administrative Costs and Fees, and Your Net Worth
Composition of Investment

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2.

Total Amount of Cash Deposited or Committed to Deposit into U.S. Business Accounts for NCE,
including qualified escrow accounts

$

3.

Total Value of Assets Purchased for Use in NCE

$

4.

Total Value of All Property Transferred From Abroad for Use in NCE

$

5.

Total of All Debt Financing

$

6.

Total Stock or Other Equity Purchases

$

7.

Other Capital

$

Administrative Costs and Fees
8.

Enter the date and amount of all administrative costs and fees associated with your investment.
Date (mm/dd/yyyy)

Amount

$
$
$
$

Total

9.

$

Has your regional center provided you a disclosure of all fees, ongoing interest, and
other compensation paid to any promoter by virtue of your investment?

Yes

No

Not Applicable

Your Net Worth
10.

Your Current Net Worth

$

Your Sources of Investment Capital
Please identify the sources of the capital you have invested or are actively in the process of investing into the NCE, as well as any
funds used to pay administrative costs and fees associated with your investment. (Select all that apply)
11.

A.

Income

B.

Loan Proceeds (including mortgage of real estate)

C.

Sale of Real Estate

D.

Gift (including capital obtained through inheritance)

E.

Tangible Assets (Equipment, Inventory, etc.)

F.

Insurance Proceeds

G.

Sale of Securities

H.

Other (Specify in the space below)

Form I-526E Edition 06/01/22

Page 8 of 16

Part 5. Information About Your Investment (continued)
12.

In the space below, describe the documentation included with this petition to demonstrate that the capital you have invested or
are actively in the process of investing, as well as any funds used to pay administrative costs and fees associated with your
investment, was obtained through lawful means. Read the Lawful Capital section listed in Evidence to Accompany Petition of
the Form I-526E Instructions for a list of documents that must be included with the petition.

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13.

If the funds used to make your investment were gifted or loaned to you, identify the donor or lender and describe the
documentation from the donor or lender (if other than a bank) included with this petition to demonstrate that such funds were
obtained through lawful means.

14.

If any persons transferred capital into the United States on your behalf, provide their identity.

Part 6. Visa Processing and Immigration Proceedings
1.
A.

Select the appropriate box to indicate how you will seek lawful permanent resident status.
Immigrant Visa Processing

Country of Citizenship or Nationality

Country of Current Residence

B.

Application for Adjustment of Status
Country of Last Permanent Residence Abroad

Address in Country of Last Permanent Residence Abroad
2.

Address in Country of Last Permanent Residence Abroad
Street Number and Name

Apt. Ste. Flr. Number

City or Town

Postal Code

3.

Province

Country

Telephone Number

Form I-526E Edition 06/01/22

Page 9 of 16

Part 6. Visa Processing and Immigration Proceedings (continued)
4.

If your native alphabet is other than Roman letters, type or print the foreign address in your native alphabet, below.
Street Number and Name

Apt. Ste. Flr. Number

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Province

City or Town

Country

Postal Code

5.

Are you filing any other petitions or applications with this Form I-526E?

Yes

No

If you answered “Yes” to Item Number 5., select all applicable boxes:
Form I-485

Form I-131
Form I-765

Other (Provide an explanation in Part 12. Additional Information.)

Immigration Proceedings

Please indicate whether you are in exclusion, deportation, or removal proceedings before the Department of Homeland Security
(DHS) or the Department of Justice's (DOJ), Executive Office for Immigration Review (EOIR) Immigration Court or Board of
Immigration Appeals. You also must provide an explanation for why you are in proceedings in Part 12. Additional Information.
6.

Are you currently or ever been in immigration proceedings before the Department of Homeland
Security (DHS) or Department of Justice (DOJ)?

7.

Type of Proceedings (Select only one)
Exclusion

8.

Deportation

No

Yes

No

Yes

No

Removal

Location of Proceedings
City or Town

9.

Yes

State

Are you currently or ever been subject to a final order of exclusion, deportation, or removal, or
subject to reinstatement of such an order?

Employment in the United States
10.

Have you ever worked in the United States without permission?

11.

If you answered "Yes" to Item Number 10., provide an explanation below. If you need additional space, use Part 12.
Additional Information.

Form I-526E Edition 06/01/22

Page 10 of 16

Part 7. Bona Fides of Persons Involved With Regional Center Program
Each person involved with a regional center, NCE, or affiliated JCE must answer the questions below. A person is involved with a
regional center, NCE, or affiliated JCE if the person is, directly or indirectly, in a position of substantive authority to make operational
or managerial decisions over pooling, securitization, investment, release, acceptance or control or use of any funding. A person may
be in a position of substantive authority if they serve as a principal, a representative, an administrator, an owner, an officer, a board
member, a manager, an executive, a general partner, a fiduciary, an agent or in a similar position at the regional center, NCE, or
affiliated JCE.

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Each petitioner must answer the questions in their capacity as an owner of the NCE associated with the Regional Center.
1.

Have you committed a criminal or civil offense involving fraud or deceit within the previous 10 years?

Yes

No

2.

Have you ever committed a criminal or civil offense involving fraud or deceit that resulted in a liability in
excess of $1,000,000?

Yes

No

3.

Have you ever committed a criminal or civil offense for which you were convicted and sentenced to a term
of imprisonment of more than 1 year?

Yes

No

4.

Are you subject to a final order of a State securities commission (or an agency or officer of a State
performing similar functions); a State authority that supervises or examines banks, savings associations, or
credit unions; a State insurance commission (or an agency or officer of a State performing similar functions);
a Federal banking agency; the Commodities Futures Trading Commission; the Securities and Exchange
Commission; a financial self-regulatory organization recognized by the Securities and Exchange
Commission, or the National Credit Union Administration?

Yes

No

If you answered “Yes” to the above, answer the following questions:
A.

What is the duration of penalty imposed by the final order?

B.

Is the final order based on a violation of any law or regulation that prohibits fraudulent, manipulative,
or deceptive conduct?

Yes

No

C.

Is the final order based on a violation of any law or regulation that bars you from associating with any
entity regulated by such commission, authority, agency, or officer?

Yes

No

D.

Is the final order based on a violation of any law or regulation that bars you from appearing before
such commission, authority, agency, or officer?

Yes

No

E.

Is the final order based on a violation of any law or regulation that bars you from engaging in the
business of securities, insurance, or banking?

Yes

No

F.

Is the final order based on a violation of any law or regulation that bars you from engaging in savings
association or credit union activities?

Yes

No

5.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any illicit trafficking in
any controlled substance or in any listed chemical (as defined in section 102 of the Controlled Substances
Act)?

Yes

No

6.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any activity relating to
espionage, sabotage, or theft of intellectual property?

Yes

No

7.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any activity related to
money laundering (as described in section 1956 or 1957 of title 18, United States Code)?

Yes

No

8.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any terrorist activity (as
defined in INA section 212(a)(3)(B))?

Yes

No

9.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any activity constituting
or facilitating human trafficking or a human rights offense?

Yes

No

10.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in any activity described in
INA section 212(a)(3)(E) (such as participating in Nazi Persecutions or Genocide)?

Yes

No

Form I-526E Edition 06/01/22

Page 11 of 16

Part 7. Bona Fides of Persons Involved With Regional Center Program (continued)
11.

Are you engaged in, or have you ever been engaged in, or do you seek to engage in a violation of any statute,
regulations, or Executive order regarding foreign financial transactions or foreign asset control?

Yes

No

12.

Are you, or during the preceding 10 years have you been, included on the Department of Justice's List of
Currently Disciplined Practitioners?

Yes

No

13.

During the preceding 10 years, have you received a reprimand or otherwise been publicly disciplined for
conduct related to fraud or deceit by a State bar association of which you are or were a member?

Yes

No

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Part 8. Foreign Involvement in Regional Center Program

For Item Numbers 1. to 3., you should answer “Yes” to any question that applies.
1.

Are you an official or representative of a foreign government entity?

Yes

No

2.

Have you provided capital to a regional center, new commercial enterprise or job-creating entity derived
from an agency, official or other similar entity or representative of a foreign government entity?

Yes

No

3.

Is your ownership or administration of a regional center, new commercial enterprise, or job-creating entity
subject to the direct or indirect involvement of an agency, official or other similar entity or representative of
a foreign government entity?

Yes

No

Part 9. Petitioner's Statement, Contact Information, Declaration, and Signature
NOTE: Read the Penalties section of the Form I-526E Instructions before completing this part.

Petitioner's Statement

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

Petitioner's Statement Regarding the Interpreter
A.
B.

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

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

, a language in which I am fluent. I understood all of this

information as interpreted.
2.

Petitioner's Statement Regarding the Preparer
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.

Petitioner's Daytime Telephone Number

5.

Petitioner's Email Address (if any)

Form I-526E Edition 06/01/22

4.

Petitioner's Mobile Telephone Number (if any)

Page 12 of 16

Petitioner's Declaration
Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require
me to submit original documents 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 furthermore 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.

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I recognize the authority of USCIS to conduct audits of this petition using publicly available open source information. I also
recognize that any supporting evidence submitted in support of this petition may be verified by USCIS through any means determined
appropriate by USCIS, including but not limited to, on-site audits as authorized by 8 U.S.C. sections 1103, 1155, and 1184; the EB-5
Reform and Integrity Act of 2022, Div. BB of the Consolidated Appropriations Act, 2022 (Pub. L. 117-103); and 8 CFR parts 103,
204, 205, and 214.
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 petition;

2)

I understood all of the information contained in, and submitted with, my petition; and

3)

All of this information was complete, true, and correct at the time of filing.

I further understand that my petition includes any records previously filed by the regional center with its Form I-956F, Application for
Approval of an Investment in a Commercial Enterprise, identified in Part 4., Item Number 1. I certify that such records are
incorporated by reference into my petition, as are any changes submitted by the regional center to amend that prior approval, and will
be considered when determining my eligibility.
I certify and attest, under penalty of perjury, that I have reviewed this petition, I understand all of the information contained in, and
submitted with, my petition, and all of this information is complete, true, and correct.

Petitioner's Signature

You must sign and date your petition. Every petition MUST contain the signature of the petitioner (or parent or legal guardian, if
applicable). A stamped or typewritten name in place of a signature is not acceptable.
6.

Petitioner's Signature (sign in ink)

Date of Signature (mm/dd/yyyy)

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 delay a decision on or deny your petition.

Part 10. Interpreter's Contact Information, Certification, and Signature
If you used anyone as an interpreter to read the Instructions and questions on this petition to you in a language in which you are fluent,
the interpreter must fill out this section.

Interpreter's Full Name
1.

Interpreter's Family Name (Last Name)

2.

Interpreter's Business or Organization Name (if any)

Form I-526E Edition 06/01/22

Interpreter's Given Name (First Name)

Page 13 of 16

Part 10. Interpreter's Contact Information, Certification, and Signature (continued)
Interpreter's Mailing Address
3.

Street Number and Name

Apt. Ste. Flr. Number

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City or Town

Province

State

Postal Code

ZIP Code

Country

Interpreter's Contact Information
4.

Interpreter's Daytime Telephone Number

6.

Interpreter's Email Address (if any)

5.

Interpreter's Mobile Telephone Number (if any)

Interpreter's Certification

I certify, under penalty of perjury, that:

I am fluent in English and
, which is the same language specified in Part 9., Item B. in
Item Number 1., 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 has verified the accuracy of every answer.

Interpreter's Signature

The interpreter must sign and date the petition.
7.

Interpreter's Signature (sign in ink)

Date of Signature (mm/dd/yyyy)

Part 11. Contact Information, Declaration, and Signature of the Person Preparing this Petition,
if Other Than the Petitioner
Provide the following information about the preparer. If the same individual acted as your interpreter and your preparer, that person
should complete both Part 10. and Part 11.

Preparer's Full Name
1.

Preparer's Family Name (Last Name)

Preparer's Given Name (First Name)

If the person who completed this petition is associated with a business or organization, that person should complete the business or
organization name and address information.
2.

Preparer's Business or Organization Name (if any)

Form I-526E Edition 06/01/22

Page 14 of 16

Part 11. Contact Information, Declaration, and Signature of the Person Preparing this Petition,
if Other Than the Petitioner (continued)
Preparer's Mailing Address
3.

Street Number and Name

Apt. Ste. Flr. Number

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City or Town

Province

State

Postal Code

ZIP Code

Country

Preparer's Contact Information
4.

Preparer's Daytime Telephone Number

6.

Preparer's Email Address (if any)

5.

Preparer's Mobile Telephone Number (if any)

Preparer's Statement
7.

A.
B.

I am not an attorney or accredited representative but have prepared this petition on behalf of the petitioner and with
the petitioner's consent.
I am an attorney or accredited representative and my representation of the petitioner in this case

extends

does not extend beyond the preparation of this petition.

NOTE: If you are an attorney or accredited representative, you may also need to submit a completed Form G-28, Notice of Entry of
Appearance as Attorney or Accredited Representative, 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 has
reviewed this completed petition, including the Petitioner's Declaration, and informed me that all of this information in the petition
and in the supporting documents is complete, true, and correct.

Preparer's Signature
Anyone who helped you complete this petition MUST sign and date the petition. A stamped or typewritten name in place of a
signature is not acceptable.
8.

Preparer's Signature

Form I-526E Edition 06/01/22

Date of Signature (mm/dd/yyyy)

Page 15 of 16

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.

DRAFT
NOT FOR
PRODUCTION
02/09/2023

1.

Family Name (Last Name)

2.

A-Number (if any)

A-

3.

A.

Page Number

B.

Part Number C.

Item Number

Page Number

B.

Part Number C.

Item Number

Page Number

B.

Part Number C.

Item Number

Page Number

B.

Part Number C.

Item Number

Page Number

B.

Part Number C.

Item Number

D.

4.

A.

D.

5.

A.

D.

6.

A.

Given Name (First Name)

Middle Name

D.

7.

A.

D.

Form I-526E Edition 06/01/22

Page 16 of 16


File Typeapplication/pdf
File TitleForm I-526E, Immigrant Petition by Regional Center Investor
SubjectImmigrant Petition by Regional Center Investor
AuthorUSCIS
File Modified2023-02-09
File Created2022-08-09

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