Immigration I-130 Petition Form

IMMIGRATION I-130 PETITION FORM

Petitioner Name:   Petitioner Address:

Beneficiary Name:   Beneficiary Address:

RECITALS

WHEREAS, Petitioner is a citizen or lawful permanent resident of the United States and seeks to establish a qualifying family relationship with the Beneficiary for immigration purposes; and

WHEREAS, Beneficiary is the individual for whom Petitioner requests preference classification or immediate relative status under the Immigration and Nationality statutory provisions; and

WHEREAS, the parties submit factual statements and documentary evidence in support of this Petition and understand that material misrepresentations may subject the declarant to criminal and civil penalties under applicable law;

NOW, THEREFORE, Petitioner files this Petition for Alien Relative pursuant to applicable immigration statutes and regulations and states as follows.

1. PETITION TYPE AND RELATIONSHIP

The Petitioner requests classification of the Beneficiary as (select one or more as applicable):

Relationship (check applicable): Spouse Child Parent Sibling Other

If spouse, date of marriage:

2. PETITIONER INFORMATION

Date of birth:

3. BENEFICIARY INFORMATION

Date of birth:

4. SUPPORTING DOCUMENTS AND EVIDENCE

The Petitioner submits the following documentary evidence in support of the claimed relationship (check all included):

Birth certificate for Beneficiary Marriage certificate (if spouse) Photographs evidencing relationship Proof of Petitioner status (citizenship or LPR)

5. REPRESENTATIONS, CERTIFICATIONS, AND PENALTIES

Petitioner declares, under penalty of perjury, that the information contained herein and in any supporting documentation is true and correct to the best of Petitioner’s knowledge and belief. Petitioner understands that willfully false statements or concealment of a material fact may subject Petitioner to criminal penalties, civil liabilities, and administrative sanctions, including denial of the Petition.

Petitioner further certifies that he or she will notify the proper authority of any material change in circumstances that would affect eligibility or the accuracy of the facts set forth in this Petition.

6. FEES AND SUBMISSION

Petitioner acknowledges that a filing fee may be required and that submission of this Petition does not guarantee approval. Petitioner agrees to pay all applicable fees and to provide any additional information requested by adjudicating authorities.

7. NOTICES

8. AMENDMENTS, WAIVER, COUNTERPARTS

This Petition may be amended in writing by subsequent sworn statement and submission of additional documentation. No waiver of any provision or right under this Petition is effective unless made in writing and signed by the party waiving such right. This Petition may be executed in counterparts, each of which shall constitute an original and all of which together shall constitute one instrument.

9. GOVERNING LAW, ENTIRE AGREEMENT, SEVERABILITY

Governing Law: This Petition and any disputes arising from it shall be governed by applicable federal immigration law and the laws of the United States as interpreted by authorized adjudicatory bodies.

Entire Agreement: This Petition, together with all attached exhibits and declarations, constitutes the entire statement of Petitioner regarding the matters asserted herein and supersedes any prior statements or documents submitted in connection with the same matter.

Severability: If any provision of this Petition is held invalid or unenforceable, the remaining provisions shall continue in full force and effect to the maximum extent permitted by law.

10. CERTIFICATION AND DECLARATION

I certify, under penalty of perjury under the laws of the United States of America, that I am the Petitioner named in this Petition, that I have examined this Petition and all attachments, and to the best of my knowledge and belief they are all true, correct, and complete.

Sign Now