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GaldamezGraciela 485 16

The document contains sections for the applicant's statement, interpreter's contact information, and the preparer's details for Form I-485. It includes specific requirements for signatures and certifications from both the applicant and the interpreter, ensuring that the application is filled out correctly. Additionally, it emphasizes the importance of providing accurate information to avoid denial of the application.

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Jesey Perezborroto
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23 views1 page

GaldamezGraciela 485 16

The document contains sections for the applicant's statement, interpreter's contact information, and the preparer's details for Form I-485. It includes specific requirements for signatures and certifications from both the applicant and the interpreter, ensuring that the application is filled out correctly. Additionally, it emphasizes the importance of providing accurate information to avoid denial of the application.

Uploaded by

Jesey Perezborroto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A-Number  A-

Part 10. Applicant's Statement, Contact Interpreter's Contact Information


Information, Declaration, Certification, and 4. Interpreter's Daytime Telephone Number
Signature (continued) 7276574581

Applicant's Signature 5. Interpreter's Mobile Telephone Number (if any)


7276574581
6.a. Applicant's Signature (sign in ink)
6. Interpreter's Email Address (if any)
AnaSalvador527@yahoo.com
6.b. Date of Signature (mm/dd/yyyy)

NOTE TO ALL APPLICANTS: If you do not completely fill


Interpreter's Certification
out this application or fail to submit required documents listed I certify, under penalty of perjury, that:
in the Instructions, USCIS may deny your application.
I am fluent in English and Spanish ,
which is the same language specified in Part 10., Item Number
Part 11. Interpreter's Contact Information, 1.b., and I have read to this applicant in the identified language
Certification, and Signature every question and instruction on this application and his or her
answer to every question. The applicant informed me that he or
Provide the following information about the interpreter. she understands every instruction, question, and answer on the
application, including the Applicant's Declaration and
Interpreter's Full Name Certification, and has verified the accuracy of every answer.

1.a. Interpreter's Family Name (Last Name) Interpreter's Signature


Salvador
7.a. Interpreter's Signature (sign in ink)
1.b. Interpreter's Given Name (First Name)
Ana
7.b. Date of Signature (mm/dd/yyyy)
2. Interpreter's Business or Organization Name (if any)

Part 12. Contact Information, Declaration, and


Interpreter's Mailing Address Signature of the Person Preparing this
3.a. Street Number
Application, if Other Than the Applicant
713 5th Avenue SE
and Name
Provide the following information about the preparer.
3.b. Apt. Ste. Flr.

3.c. City or Town Largo


Preparer's Full Name
1.a. Preparer's Family Name (Last Name)
3.d. State FL 3.e. ZIP Code 33770
Tsang
3.f. Province 1.b. Preparer's Given Name (First Name)
Simon
3.g. Postal Code
2. Preparer's Business or Organization Name (if any)
3.h. Country
Simon Tsang, Esq.

Form I-485 Edition 03/29/21 Page 16 of 18

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