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I-526fillable (ILW.COM)

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Department of Homeland Security
U.S. Citizenship and Immigration Services
Form I-526 (Rev. 07/30/07)Y
Action Block
Fee Receipt
Remarks:
Do Not Write in This Block - For USCIS Use Only (Except G-28 Block Below)
To be completed by Attorney or Representative, if any
G-28 is attached
Part 1. Information about you.
START HERE - Type or print in black ink.
Middle
Name
Family
Name
Given
Name
Address:
In care of
Number and
Street
Apt. #
City
State or
Province
Date of Birth
(mm/dd/yyyy)
Country
of Birth
Social Security #
(if any)
Classification
a.
This petition is based on an investment in a commercial enterprise in a targeted employment area for which the required
amount of capital invested has been adjusted downward.
b.
This petition is based on an investment in a commercial enterprise in an area for which the required amount of capital invested
has been adjusted upward.
This petition is based on an investment in a commercial enterprise that is not in either a targeted area or in an upward
adjustment area.
c.
Part 3. Information about your investment.
Part 2. Application type. (Check one)
Name of commercial enterprise in which funds are invested
Street
Address
Phone #
with Area Code
Business organized as
(corporation, partnership, etc.)
Kind of business
(e.g. furniture manufacturer)
Date established
(mm/dd/yyyy)
IRS Tax #
Priority Date
Country
Zip/Postal
Code
Current
Nonimmigrant Status
Date Current Status
Expires (mm/dd/yyyy)
A #
(if any)
If you are in the United States, provide
the following information:
I-94 #
Date of Arrival
(mm/dd/yyyy)
Daytime Phone #
with Area Code
RECEIVED: ________________ RESUBMITTED: ____________ RELOCATED: SENT ________________ REC'D ____________
I-526, Immigrant Petition
by Alien Entrepreneur
OMB No. 1615-0026; Exp. 09/30/08
If you are not the sole investor in the new commercial enterprise, list on separate paper the names of all other parties (natural and non-
natural) who hold a percentage share of ownership of the new enterprise and indicate whether any of these parties is seeking
classification as an alien entrepreneur. Include the name, percentage of ownership and whether or not the person is seeking classification
under section 203(b)(5). NOTE: A "natural" party would be an individual person and a "non-natural" party would be an entity such as a
corporation, consortium, investment group, partnership, etc.
Part 3. Information about your investment. (Continued.)
Date of your initial
investment (mm/dd/yyyy)
Your total capital investment
in the enterprise to date $
Percentage of the
enterprise you own
If you indicated in Part 2 that the enterprise is in a targeted employment area
or in an upward adjustment area, name the county and state:
State
County
Net
Gross
Gross
Net worth:
When you made investment...............
New commercial enterprise resulting from the creation of a new business.
New commercial enterprise resulting from a capital investment in an existing business.
New commercial enterprise resulting from the purchase of an existing business.
Total amount in U.S. bank account ......................................................................................
Total value of all property transferred from abroad to the new enterprise...........................
Total of all debt financing....................................................................................................
$
Total value of all assets purchased for use in the enterprise.................................................
$
$
$
Total stock purchases...........................................................................................................
$
Total
Other (explain on separate paper)........................................................................................
Income:
When you made the investment.........
$
$
$
$
$
Net
Gross
$
$
Now....................................................
Composition of the Petitioner's Investment:
Now
$
Part 4. Additional information about the enterprise.
Form I-526 (Rev. 07/30/07)Y Page 2
Amount of your
initial investment $
Type of Enterprise (check one):
No
Yes (Explain on separate paper)
No
Yes (Explain on separate paper)
No
Signature
I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.
Signature
Yes
Have you ever worked in the United States without permission?
Read the information on penalties in the instructions before completing this section.
Check One:
Part 5. Employment creation information.
Number of full-time employees in the enterprise in U.S. (excluding you, your spouse, sons and daughters)
When you made your initial investment?
Now
Difference
How many of these new jobs were
created by your investment?
How many additional new jobs will be
created by your additional investment?
What is your position, office or title with the new commercial enterprise?
Briefly describe your duties, activities and responsibilities.
What is your salary?
What is the cost of your benefits?
$
$
Part 6. Processing information.
The person named in Part 1 is now in the United States and an application to adjust status to permanent resident will be filed
if this petition is approved.
If you provided a United States address in Part 1, print the person's foreign address:
If the person's native alphabet is other than Roman letters, write the foreign address in the native alphabet:
Are you in deportation or removal proceedings?
Part 7. Signature.
I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is
all true and correct. I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs
to determine eligibility for the benefit I am seeking.
NOTE: If you do not completely fill out this form or fail to the submit the required documents listed in the instructions, you may not be
found eligible for the immigration benefit you are seeking and this petition may be denied.
Date
Print Your
Name
Date
Firm Name
Part 8. Signature of person preparing form, if other than above. (Sign below)
Country of current residence or, if now in the
United States, last permanent residence abroad:
following for that person:
If the petition is approved and the person named in Part 1 wishes to apply for an immigrant visa abroad, complete the
Country of nationality:
Daytime phone #
with area code
Form I-526 (Rev. 07/30/07)Y Page 3
Is a Form I-485, Application for Adjustment of Status, attached to this petition?
Address
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Completed 9 January 2021

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