I am a conditional permanent resident spouse or child of an entrepreneur who is deceased.
I-829, Petition by Entrepreneur
to Remove Conditions
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
Attorney's State License No.
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
Daytime
Phone #
Date of Birth
(mm/dd/yyyy)
Country
of Birth
U.S. Social Security #
(if any)
Country
Zip/Postal
Code
Part 3. Information about your husband or wife.
Current
Immigration Status
Part 2. Basis for petition.
My conditional permanent residence is based on an investment in a commercial enterprise.
Applicant Interviewed
d.
I am a conditional permanent resident spouse or child of an entrepreneur, and I am unable to be included in a Petition by
Entrepreneur to Remove Conditions (Form I-829) filed by my conditional resident spouse or parent.
e.
A # (if any)
Form I-526 Receipt Number
a.
Family
Name
Given
Name
Middle
Name
Other names used (including maiden name or aliases)
Date of Birth
(mm/dd/yyyy)
Date of Marriage
(mm/dd/yyyy)
A#
(If any)
Is your current immigration status based
on the petitioner's current status?
Gender
Since becoming a conditional permanent resident, have you ever been arrested, cited, charged, indicted, convicted, fined or imprisoned
for breaking or violating any law or ordinance (excluding traffic regulations), or committed any crime for which you were not arrested?
RECEIVED: ________________ RESUBMITTED:__________________________ RELOCATED: SENT _____________________REC'D ____________________
OMB No. 1615-0045; Expires 05/31/09
(If yes, explain on separate sheet(s) of paper, including disposition, if any.)
(Check one)
Reserved.
b.
c.
Reserved.
Department of Homeland Security
U.S. Citizenship and Immigration Services
Yes
No
Male
Female
Yes
No
G-28 is attached
Form I-829 (Rev. 07/30/07)Y
New commercial enterprise resulting from the reorganization of an existing business.
Part 4. Children.
(List all your children. Attach another sheet(s) of paper, if necessary.)
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current Immigration
Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current
Immigration Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current
Immigration Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current
Immigration Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current
Immigration Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Family
Name
Given
Name
Middle
Name
A#
(if any)
Current
Immigration Status
Date of Birth
(mm/dd/yyyy)
Living with
you?
Part 5. Information about your commercial enterprise.
New commercial enterprise resulting from the creation of a new business.
New commercial enterprise resulting from a capital investment in an existing business.
Kind of Business (Be as specific as possible):
Date Business Established (mm/dd/yyyy)
How many of these new jobs were created by your investment?
At the time of your initial investment:
Amount of
Initial Investment
Date of Initial Investment (mm/dd/yyyy)
% of Enterprise You Own
Difference:
Presently:
Form I-829 (Rev. 07/30/07)Y Page 2
Type of Enterprise (Check one):
Number of full-time employees in enterprise in United States (excluding you, your spouse, sons and daughters):
Yes
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Part 6. Signature. (Read the information on penalties in the instructions before completing this section.)
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 further certify that the investment was made in accordance with the laws of the United States and was not for the
purpose of evading United States immigration laws. I also authorize the release of any information from my records that the U.S.
Citizenship and Immigration Services needs to determine eligibility for the benefit being sought.
Print Name
Part 7. Signature of person preparing form, if other than above.
I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge.
Firm Name and Address (Include Telephone Number with Area Code and E-Mail Address.)
Form I-829 (Rev. 07/30/07)Y Page 3
Part 5. Information about your commercial enterprise . (Continued.)
Subsequent Investment in the Enterprise:
Date of Investment
Amount of Investment
Type of Investment
Provide the gross and net incomes generated annually by the commercial enterprise since your initial investment. Include all income
generated up to date during the present year.
Year
Net Income
Gross Income
Has your commercial enterprise filed for bankruptcy, ceased business operations, or have any changes in its business organization
or ownership occurred since the date of your initial investment?
Yes (Explain on separate sheet)
Has your commercial enterprise sold any corporate assets, shares, property, or had any capital withdrawn since the date of your initial
investment?
Yes (Explain on separate sheet)
No
Signature of Applicant
Date
NOTE: If you do not completely fill out this form or fail to submit any required documents listed in the instructions, you may
not be found eligible for the requested benefit and this petition may be denied.
Signature
Print Name
Date