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Get USCIS I-864A 2015

Ers 3.a., 3.b., and 3.c. and enter the number here. $ (mm/dd/yyyy) Unemployed since (mm/dd/yyyy) My current individual annual income is: $ Form I-864A 07/02/15 N Page 2 of 8 9. Part 5. Sponsor's Promise, Statement, Contact Information, Certification, and Signature U.S. Social Security Number (if any) ► 10. NOTE: Read the information on penalties in the Penalties section of the Form I-864A Instructions before completing this part. USCIS ELIS Account Number (if any) ► Intending Imm.

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