Immigration Application N-400 Packet

Immigration Application N-400 Packet

Representation Agreement — Recitals

WHEREAS, Applicant seeks naturalization under applicable federal immigration statutes and regulations; and

WHEREAS, Applicant engages Representative to prepare and assemble the N-400 application packet, provide legal advice limited to preparation and filing, and to communicate with immigration authorities as authorized by Applicant; and

WHEREAS, Representative will perform services under the terms set forth below and Applicant will pay compensation as described in Payment Terms.

Scope of Work

Payment Terms

Total Fee:   Payment Schedule:

Late Fee/Collection: A late fee of will apply to unpaid balances after 30 days. Client agrees to pay reasonable collection costs and attorney's fees for enforcement of payment obligations.

Term and Termination

Start Date:   End Date (if any):

Either party may terminate this representation by providing written notice to the other party. Notice period: days.

Confidentiality

Representative shall maintain confidential all non-public information provided by Applicant and shall not disclose such information except as required to render services under this agreement, as required by law, or with Applicant's written consent. Applicant authorizes Representative to share information with translation, filing, or courier services as necessary.

Governing Law and Entire Agreement

This agreement is governed by federal immigration statutes and the laws of the state where Representative's office is located, to the extent state law applies. This document constitutes the entire agreement between Applicant and Representative with respect to the services described and supersedes all prior agreements or understandings, whether written or oral.

Applicant Information — Part A

Date of Birth:   Place of Birth (City, State/Province, Country):

A-Number (if any):   USCIS Receipt Number (if any):

Additional Biographic and Status Information

Residence and Travel History

Employment and Education

Criminal, Military, and Eligibility Questions

Have you ever been arrested, cited, charged, indicted, convicted, fined, or imprisoned for breaking or violating any law or ordinance?   Yes   No

Have you served in the U.S. Armed Forces?   Yes   No

Accommodations and Special Requests

Yes   No

Authorizations, Certifications, and Notices

Applicant certifies under penalty of perjury that all information provided in this packet and accompanying documents is true and correct to the best of Applicant's knowledge. Applicant understands that knowingly providing false information or willful misrepresentation may lead to denial of naturalization, criminal prosecution, fines, and/or imprisonment.

Applicant authorizes Representative to prepare, sign, and file the N-400 application and related forms on Applicant's behalf where Applicant has provided explicit written authorization. Applicant consents to fingerprinting, background checks, and the release of records to immigration authorities as required for adjudication of the naturalization application.

Attachments and Supporting Documents

Birth certificate or acceptable proof of birth  
Permanent Resident Card (front and back)  
Two passport-style photos  
Marriage certificate (if applicable)  
Divorce or death certificate of prior spouse(s) (if applicable)

Acknowledgment and Applicant Certification

I certify that I have read and understood the statements and instructions in this packet. I authorize the Representative to communicate with immigration authorities and to receive copies of notices and decisions on my behalf as necessary to process my N-400 application.

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