I-130 Form

I-130 PETITION FOR ALIEN RELATIVE

Petitioner Name: (hereinafter "Petitioner"), a person whose current primary address is , submits this Petition on behalf of Beneficiary Name: (hereinafter "Beneficiary") for classification as a family-based immigrant under applicable federal immigration law. Petitioner asserts the relationship described in this form is true and supported by documentary evidence submitted herewith.

RECITALS

WHEREAS, Petitioner is a citizen or lawful permanent resident of the United States and seeks recognition of the familial relationship to the Beneficiary for the purpose of family-based immigration; and

WHEREAS, Beneficiary is the person identified above and seeks classification based upon the family relationship declared herein, and Petitioner possesses or will provide supporting documentary evidence to establish the claimed relationship; and

WHEREAS, Petitioner understands that the submission of false statements or fraudulent documents may result in denial of the petition and may subject the signer to civil and criminal penalties under federal law.

NOW, THEREFORE, Petitioner submits this Petition and certifies the statements and allegations contained in the following sections are true and correct to the best of Petitioner's knowledge under penalty of perjury.

1. PETITION TYPE AND RELATIONSHIP

Check the relationship claimed between Petitioner and Beneficiary:

Spouse Parent Child Brother or Sister

2. PETITIONER INFORMATION

U.S. Citizen Lawful Permanent Resident Other:

3. BENEFICIARY INFORMATION

4. EVIDENCE OF RELATIONSHIP

Petitioner must submit or identify the documentary evidence submitted to establish the claimed relationship. Indicate which documents accompany this Petition:

Marriage certificate (if spouse) Birth certificate Adoption decree Photographs and correspondence

5. PRIOR PETITIONS AND IMMIGRATION HISTORY

Has Petitioner filed an immigrant petition for this Beneficiary previously? Yes No

6. REPRESENTATIONS, WARRANTIES, AND AUTHORIZATIONS

Petitioner represents and warrants that: (a) Petitioner is the person identified in this Petition and has the authority to file this Petition; (b) all statements and answers contained herein are true, complete, and correct to the best of Petitioner's knowledge; (c) all documents submitted in support of this Petition are true, accurate, and unaltered copies of original documents; and (d) Petitioner will provide additional documentation if requested by the adjudicating authority.

Petitioner authorizes the release and exchange of information contained in this Petition to governmental authorities for the purpose of adjudication, verification, and enforcement of immigration laws, in accordance with applicable federal law.

7. PRIVACY, DISCLOSURE, AND USE OF INFORMATION

Information provided in this Petition may be used and disclosed for immigration adjudication, law enforcement, and other purposes permitted by law. Petitioner understands that certain biographic and biometric information may be collected in connection with this Petition.

8. PENALTIES, CERTIFICATION, AND SIGNATURE

I certify under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. I understand that knowingly submitting false statements or fraudulent documents may result in denial of this Petition and may subject me to civil and criminal penalties under federal law, including fines and imprisonment.

9. NOTICES AND SERVICE

All notices and official communications regarding this Petition should be sent to the Petitioner's address provided in Section 2 unless Petitioner notifies the adjudicating authority in writing of a change of address.

10. AMENDMENTS; WAIVER; COUNTERPARTS

This Petition may be amended by Petitioner in writing at any time prior to final adjudication. No waiver of any provision of this Petition shall be effective unless in writing and signed by Petitioner. This Petition may be executed in counterparts, each of which constitutes an original instrument.

GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Petition and any adjudication thereof shall be governed by the immigration laws of the United States and other applicable federal law. This Petition, together with the supporting documents submitted with it, constitutes the entire written statement of Petitioner's claim for classification of the Beneficiary and supersedes all prior oral or written representations. If any provision of this Petition is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

PREPARER (IF ANY)

Date:

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