Current Page Number and
Section
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Current Text
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Proposed
Text
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Page 6, Part 7.
Signature and Contact Information of Authorized Signatory (Read
the information on penalties in the instructions before completing
this section)
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I certify, under penalty of
perjury, that this petition and the evidence submitted with it are
true and correct to the best of my knowledge. Copies of
documents submitted are exact photocopies of unaltered original
documents, and I understand that, as a petitioner, I may be
required to submit original documents to U.S. Citizenship and
Immigration Services (USCIS) at a later date. I authorize
the release of any information from my records, or from the
petitioning organization's records that USCIS needs to determine
eligibility for the benefit being sought. I recognize the
authority of USCIS to conduct audits of this petition using
publicly available open source information. I also recognize that
supporting evidence submitted may be verified by USCIS through any
means determined appropriate by USCIS, including but not limited
to, on-site compliance reviews.
Name and Title of Authorized
Signatory
Family Name
(last name)
Given Name
(first name)
Title
Signature and Date
Signature of
Authorized Signatory
Date of
Signature
Signatory’s Contact
Information
Daytime
Telephone Number
E-mail Address
(if any)
NOTE: If
you do not fully complete this form or fail to submit the required
documents listed in the instructions, a final decision on your
petition may be delayed or the petition may be denied.
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Part 7. Declaration,
Signature, and Contact
Information of Petitioner or Authorized Signatory (Read the
information on penalties in the instructions before completing
this section.)
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 U.S. Citizenship and
Immigration Services (USCIS) at a later date.
I authorize
the release of any information from my records, or from the
petitioning organization’s records that USCIS needs to
determine eligibility for the immigration benefit sought. 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 and
that all of the information contained in the petition, including
all responses to specific questions, and in the supporting
documents, is complete, true, and correct.
[No Change]
[No Change]
[No Change]
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Page 6, Part 8
Declaration, Signature, and Contact Information of Person
Preparing Form, If Other Than Above
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Provide the following information
concerning the preparer:
Name of Preparer
Family Name
(last name)
Given Name
(first name)
Preparer’s Business or
Organization Name
(If applicable,
provide the name of your accredited organization recognized by the
Board of Immigration Appeals (BIA))
Preparer’s Mailing
Address
Street Number
and Name
Apt. Ste. Flr.
Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Preparer’s Contact
Information
Daytime
Telephone Number
Fax Number
E-mail Address
(if any)
[Page 7]
Preparer’s Declaration
[subheader]
By my signature,
I certify, swear or affirm, under penalty of
perjury, that I prepared this form on behalf of, at the request
of, and with the express consent of,
the petitioner. I completed the form based only on responses
the petitioner provided to me. After completing the form, I
reviewed it and all of the petitioner's responses with the
petitioner, who agreed with every answer provided for every
question on the form and, when required, supplied additional
information to respond to a question on the form.
Signature and Date
Signature of
Preparer
Date of Signature
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Part 8. Declaration, Signature, and Contact Information of
Person Preparing Form, If Other Than Petitioner
[No Change]
2. Preparer’s Business or
Organization Name (if any)
[No Change]
[Page 7]
[No Change]
[No Change]
Preparer’s Declaration
[subheader]
By
my signature, I certify, swear, or affirm, under penalty of
perjury, that I prepared this petition on behalf of, at the
request of, and with the express consent of the petitioner or
authorized signatory. The petitioner has reviewed this
completed petition as prepared by me and informed me that all of
the information in the form and in the supporting documents, is
complete, true, and correct.
[No Change]
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Page 11, Section 2.
Petitioner’s Signature and Contact Information (Read
the information on penalties in the instructions before completing
this section)
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I certify, under penalty of perjury,
that this petition and the evidence submitted with it is all true
and correct to the best of my knowledge. I authorize the release
of any information from my records, or from the petitioning
organization's records that U.S. Citizenship and Immigration
Services (USCIS) needs to determine eligibility for the benefit
being sought. I recognize the authority of USCIS to conduct
audits of this petition using publicly available open source
information. I also recognize that supporting evidence submitted
may be verified by USCIS through any means determined appropriate
by USCIS, including but not limited to, on-site compliance
reviews.
I am filing this petition on behalf
of an organization and I certify that I am authorized to do so by
the organization.
Name of Petitioner
Family Name
(last name)
Given Name
(first name)
Signature and Date
Signature of
Petitioner
Date of
Signature
Petitioner’s Contact
Information
Daytime
Telephone Number
Mobile
Telephone Number
E-mail Address
(if any)
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Section 2. Petitioner’s Declaration,
Signature,
and Contact Information (Read the information on penalties
in the instructions before completing this section.)
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 U.S. Citizenship and
Immigration Services (USCIS) at a later date.
I authorize
the release of any information from my records, or from the
petitioning organization's records that USCIS needs to determine
eligibility for the immigration benefit sought. 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.
I certify,
under penalty of perjury, that I have reviewed this petition and
that all of the information contained on the petition, including
all responses to specific questions, and in the supporting
documents, is complete, true, and correct.
[No Change]
[No Change]
[No Change]
[No Change]
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Page 12, Section 3.
Declaration, Signature, and Contact Information of Person
Preparing Form, If Other Than Above
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NOTE: If you are an attorney or
accredited representative, DO NOT complete this section. Complete
the Preparer's Declaration below. Provide the following
information concerning the preparer:
Provide the following information
concerning the preparer:
Name of Preparer
Family Name
(last name)
Given Name
(first name)
Preparer’s Business or
Organization Name
(If applicable,
provide the name of your accredited organization recognized by the
Board of Immigration Appeals (BIA))
Preparer’s Mailing
Address
Street Number
and Name
Apt. Ste. Flr.
Number
City or Town
State
ZIP Code
Province
Postal Code
Country
Preparer’s Contact
Information
Daytime
Telephone Number
Fax Number
E-mail Address
(if any)
Preparer’s Declaration
[sub header]
By my signature,
I certify, swear or affirm, under penalty of
perjury, that I prepared this form on behalf of, at the request
of, and with the express consent of,
the petitioner. I completed the form based only on responses
the petitioner provided to me. After completing the form, I
reviewed it and all of the petitioner's responses with the
petitioner, who agreed with every answer provided for every
question on the form and, when required, supplied additional
information to respond to a question on the form.
Signature and Date
Signature of
Preparer
Date of Signature
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Section 3. Declaration, Signature,
and Contact Information of Person Preparing Form, If Other Than
Petitioner
[Deleted]
[No Change]
2. Preparer’s Business or
Organization Name (if any)
[No Change]
[No Change]
[No Change]
Preparer’s Declaration
[sub header]
By
my signature, I certify, swear, or affirm, under penalty of
perjury, that I prepared this petition on behalf of, at the
request of, and with the express consent of the petitioner or
authorized signatory. The petitioner has reviewed this
completed petition as prepared by me and informed me that all of
the information in the form and in the supporting documents, is
complete, true, and correct.
[No Change]
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