Page 5,
Part 7. Statement,
Contact Information, Declaration, and Signature of the Petitioner
or Authorized Signatory
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[page 5]
Part 7. Statement, Contact
Information, Declaration, and Signature of the Petitioner or
Authorized Signatory
NOTE: Read the Penalties
section of the Form I-129S Instructions before completing this
section.
Petitioner's or Authorized
Signatory's Statement
NOTE: Select the box for
either Item Number 1.a. or 1.b. If
applicable, select the box for Item Number 2.
1.a. I can read and
understand English, and I have read and understand every question
and instruction on this petition and my answer to every question.
1.b. The interpreter named in
Part 8. has read to me every question and instruction on
this petition and my answer to every question in [fillable
field],a language in which I am fluent, and I understood all of
this information as interpreted.
2. At my request, the
preparer named in Part 9., [fillable field],prepared this
petition for me based only upon information I provided or
authorized.
Authorized Signatory's Contact
Information
3.a. Authorized Signatory's
Family Name (Last Name)
3.b. Authorized Signatory's
Given Name (First Name)
4. Authorized Signatory's
Title
5. Authorized Signatory's
Daytime Telephone Number
6. Authorized Signatory's
Mobile Telephone Number (if any)
7. Authorized Signatory's
Email Address (if any)
Petitioner's or Authorized
Signatory's Declaration and Certification
Copies of any documents submitted
are exact photocopies of unaltered, original documents, and I
understand that, as the petitioner, I may be required to submit
original documents to USCIS at a later date.
I authorize the release of any
information contained in this petition, in supporting documents,
in my USCIS records, and in the petitioning organization's USCIS
records, to USCIS or other entities and persons where necessary to
determine eligibility for the immigration benefit sought or where
authorized by law.
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 compliance reviews.
If filing this petition on behalf of
an organization, I certify that I am authorized to do so by the
organization.
I certify, under penalty of perjury,
that I have reviewed this petition, I understand all of the
information contained in, and submitted with, this petition, and
all of this information is complete, true, and correct.
Petitioner's or Authorized
Signatory's Signature
[new]
8.a. Petitioner's or
Authorized Signatory's Signature
8.b. Date of Signature
(mm/dd/yyyy)
NOTE TO ALL PETITIONERS AND
AUTHORIZED SIGNATORIES: If you do not completely fill out
this petition or fail to submit required documents listed in the
Instructions, USCIS may deny your petition.
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[Page 5]
Part 7. Contact
Information, Certification,
and Signature of the Petitioner or Authorized Signatory
[deleted]
Petitioner’s
or Authorized
Signatory’s
Contact Information
1.
Petitioner’s
or
Authorized
Signatory's Family Name (Last Name)
Petitioner’s
or Authorized
Signatory's Given Name (First Name)
2.
Petitioner’s
or
Authorized
Signatory's Title
3.
Petitioner’s
or
Authorized
Signatory's Daytime Telephone Number
4.
Petitioner’s
or
Authorized
Signatory's Mobile Telephone Number (if any)
5.
Petitioner’s
or
Authorized
Signatory's Email Address (if any)
Petitioner’s
or Authorized Signatory’s
Certification and Signature
[deleted]
If
filing
this petition on behalf of an organization, I certify that I am
authorized to do so by the organization:
[deleted]
1)
I reviewed and provided or authorized all of the responses and
information in my petition;
2)
I understood all of the responses and information contained in,
and submitted with, my petition; and
3)
All of the responses and information were complete, true, and
correct at the time of filing.
Furthermore,
I authorize the release of any information from any and all of my
records as authorized signatory and the petitioner’s records
that USCIS may need to determine the petitioner’s
eligibility for an immigration request and to other entities and
persons where necessary for the administration and enforcement of
U.S. immigration law.
6.
Petitioner’s
or Authorized Signatory’s Signature
Date
of
Signature (mm/dd/yyyy)
[deleted]
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Page 6,
Part 8.
Interpreter's Contact Information, Certification, and Signature
|
[page 6]
Part 8. Interpreter's Contact
Information, Certification, and Signature
Provide the following information
about the interpreter.
Interpreter's Full Name
1.a. Interpreter's Family
Name (Last Name)
1.b. Interpreter's Given Name
(First Name)
2. Interpreter's Business or
Organization Name (if any)
Interpreter's Mailing Address
3.a. Street Number and Name
3.b. Apt./Ste/Flr.
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f. Province
3.g. Postal Code
3.h. Country
Interpreter's Contact
Information
4. Interpreter's Daytime
Telephone Number
5. Interpreter's Mobile
Telephone Number (if any)
6. Interpreter's Email
Address (if any)
Interpreter's Certification
I certify, under penalty of perjury,
that:
I am fluent in English and [fillable
field],which is the same language specified in Part 7.,
Item Number 1.b., and I have read to this petitioner or the
authorized signatory in the identified language every question and
instruction on this petition and his or her answer to every
question. The petitioner or authorized signatory informed me that
he or she understands every instruction, question, and answer on
the petition, including the Petitioner's or Authorized
Signatory's Declaration and Certification, and has verified
the accuracy of every answer.
Interpreter's Signature
7.a. Interpreter's Signature
7.b. Date of Signature
(mm/dd/yyyy)
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[Page 6]
Part 8. Interpreter's Contact
Information, Certification, and Signature
[deleted]
Interpreter’s
Full
Name
1.
Interpreter’s
Family Name (Last Name)
Interpreter’s
Given
Name (First Name)
2.
Interpreter’s Business or Organization Name
[deleted]
Interpreter’s
Contact
Information
3.
Interpreter’s
Daytime Telephone Number
4.
Interpreter’s
Mobile Telephone Number (if any)
5.
Interpreter’s
Email Address (if any)
Interpreter’s
Certification and
Signature
I
certify, under penalty of perjury, that I
am fluent in English and [Fillable language field],
and I
have interpreted
every question on the petition and Instructions and interpreted
the petitioner’s or authorized signatory’s answers to
the questions in that language, and the petitioner or authorized
signatory informed me that they understood every instruction,
question, and answer on the petition.
[deleted]
6.
Interpreter’s
Signature
Date
of
Signature (mm/dd/yyyy)
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Pages 6-7,
Part 9. Contact
Information, Declaration, and Signature of the Person Preparing
this Petition, if Other Than the Petitioner or Authorized
Signatory
|
[page 6]
Part 9. Contact Information,
Declaration, and Signature of the Person Preparing this Petition,
if Other Than the Petitioner or Authorized Signatory
Provide the following information
about the preparer.
Preparer's Full Name
1.a. Preparer's Family Name
(Last Name)
1.b. Preparer's Given Name
(First Name)
2. Preparer's Business or
Organization Name (if any)
Preparer's Mailing Address
3.a. Street Number and Name
3.b. Apt./Ste/Flr.
3.c. City or Town
3.d. State
3.e. ZIP Code
3.f. Province
3.g. Postal Code
3.h. Country
[page 7]
Preparer's Contact Information
4. Preparer's Daytime
Telephone Number
5. Preparer's Mobile
Telephone Number (if any)
6. Preparer's Email Address
(if any)
Preparer's Statement
7.a. I am not an attorney or
accredited representative but have prepared this petition on
behalf of the petitioner and with the petitioner's or authorized
signatory's consent.
7.b. 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 need to submit a completed
Form G-28, Notice of Entry of Appearance as Attorney or Accredited
Representative, or Form G-28I, Notice of Entry of Appearance as
Attorney In Matters Outside the Geographical Confines of the
United States, with this petition.
By my signature, I certify, under
penalty of perjury, that I prepared this petition at the request
of the petitioner or authorized signatory. The petitioner or
authorized signatory has reviewed this completed petition,
including the Petitioner's or Authorized Signatory's
Declaration and Certification, and informed me that all of the
information in the petition and in the supporting documents is
complete, true, and correct.
Preparer's Signature
8.a. Preparer's Signature
8.b. Date of Signature
(mm/dd/yyyy)
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[Page 6]
Part 9. Contact Information,
Declaration, and Signature of the Person Preparing this Petition,
if Other Than the Petitioner or Authorized Signatory
[deleted]
Preparer’s
Full
Name
1.
Preparer’s
Family Name (Last Name)
Preparer’s
Given
Name (First Name)
2.
Preparer’s Business or Organization Name
[deleted]
Preparer’s
Contact
Information
3.
Preparer’s
Daytime Telephone Number
4.
Preparer’s
Mobile Telephone Number (if any)
5.
Preparer’s
Email Address (if any)
Preparer’s
Certification
and Signature
[deleted]
I
certify,
under penalty of perjury, that I prepared this petition
for
the
petitioner
at
their request and with express consent and that all of the
responses and information contained in and submitted with the
petition are complete,
true, and correct
and reflects only information provided by the petitioner. The
petitioner reviewed the responses and information and
informed me that they understand the responses and information in
or submitted with the petition.
[deleted]
6.
Preparer’s
Signature
Date of
Signature (mm/dd/yyyy)
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