Fillable I-829 Form I-829

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I-829 Form I-829

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U.S. Citizenship and Immigration Services (USCIS) is an office of the U.S. Branch of Homeland Security (DHS) that oversees the nation's naturalization and migration framework. It is a successor to the Immigration and Naturalization Service (INS), which was disintegrated by the Homeland Security Act of 2002 and supplanted by three segments inside the DHS: USCIS, Immigration and Customs Enforcement (ICE), and Customs and Border Protection (CBP).

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Page 1 of 11
Form I-829 04/21/17 N
Petition by Entrepreneur to Remove Conditions
on Permanent Resident Status
Department of Homeland Security
U.S. Citizenship and Immigration Services
USCIS
Form I-829
OMB No. 1615-0045
Expires: 04/30/2019
Relocated (mm/dd/yyyy)
For
USCIS
Use
Only
Action BlockFee Receipt
Resubmitted (mm/dd/yyyy)
Received (mm/dd/yyyy)
Sent (mm/dd/yyyy)
Received (mm/dd/yyyy)
Remarks
Petitioner Interviewed
(mm/dd/yyyy)
Immigrant Classification
DOE/A
To be completed
by an Attorney
or Accredited
Representative (if any).
Select this box if
Form G-28 is
attached.
Attorney State Bar Number
(if applicable)
Attorney or Accredited Representative
USCIS Online Account Number (if any)
START HERE - Type or print in black ink. ►
1.
Part 1. Basis for Petition
Is the investment associated with a Regional Center?
Yes No
If you answered “Yes” to Item Number 1., complete Item
Numbers 2.a. and 2.b.
2.a. What is the name of the Regional Center?
2.b. Regional Center Identification Number
3.a. What is the name of the New Commercial Enterprise
(NCE)?
NCE Identification Number3.b.
►
4.
I am a conditional permanent resident based on my
investment in a commercial enterprise.
5. I am a conditional permanent resident who is the
spouse, former spouse, or child of an entrepreneur,
and I am filing separately from the entrepreneur's
Form I-829.
6.
I am a conditional permanent resident spouse or child
of an entrepreneur who has died.
Select only one box
Part 2. Information About You
USCIS Online Account Number (if any)3.
►
U.S. Social Security Number (if any)
4.
►
►
10.
Form I-526 Receipt Number on Which This Petition is
Based
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
►
A-
Alien Registration Number (A-Number) (if any)2.
5. Date of Birth (mm/dd/yyyy)
6. Gender Male
Female
Country of Birth7.
Country of Citizenship or Nationality
8.
Date of Admission as a Conditional Permanent Resident
(mm/dd/yyyy)
9.
Page 2 of 11
Form I-829 04/21/17 N
►
11. Any Additional Form I-526 or Form I-829 Receipt
Numbers for Other Petitions Filed by Entrepreneur
List all other names you have ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
12.a. Family Name
(Last Name)
12.b. Given Name
(First Name)
12.c.
Middle Name
13.a. Family Name
(Last Name)
13.b. Given Name
(First Name)
13.c.
Middle Name
Street Number
and Name
14.a.
In Care Of Name (if any)
14.b.
14.c. Apt. Flr.Ste.
14.d. City or Town
14.e.
State
14.f.
ZIP Code
Your U.S. Mailing Address
If you answered “No” to Item Number 15., you MUST
provide your current physical address in the Item Numbers
16.a. - 16.h. If you need extra space to complete this section,
use the space provided in Part 12. Additional Information.
15.
Is your mailing address the same as your physical address?
Yes No
Other Names You Have Used
Part 2. Information About You (continued)
16.a. Street Number
and Name
16.b. Apt. Flr.Ste.
Provide your physical addresses for the last five years. Provide
your present address first. If you need extra space to complete
this section, use the space provided in Part 12. Additional
Information.
16.c. City or Town
16.d.
State
16.e.
ZIP Code
Country 16.h.
Postal Code
16.g.
Province
16.f.
Physical Address
Since becoming a conditional permanent resident, have
you EVER been arrested, cited, charged, indicted,
convicted, fined, or imprisoned for violating any law or
ordinance (excluding minor traffic violations)?
17.
Yes No
Since becoming a conditional permanent resident, have
you EVER committed any crime for which you were not
arrested?
18.
Yes No
If you answered “Yes” to Item Number 17., you must provide
certified court dispositions, arrest reports, statements of charges,
indictment information, or any other charging documents that
were issued. If you answered “Yes” to Item Number 18.,
provide the date and location (town or city/state or province/
country) of the events and provide an explanation in the space
provided in Part 12. Additional Information.
Part 3. Information About Your Current or
Former Conditional Permanent Resident Spouse
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
Criminal History
NOTE: If you have both a current spouse and a former
conditional permanent resident spouse, use the space provided
in Part 12. Additional Information to provide this same
information about your current spouse or former conditional
permanent resident spouse who you did not already include in
Part 3. below.
Page 3 of 11
Form I-829 04/21/17 N
FemaleMale2. Gender
►
A-
Alien Registration Number (A-Number) (if any)3.
Part 3. Information About Your Current or
Former Conditional Permanent Resident Spouse
(continued)
USCIS Online Account Number (if any)4.
►
5. Date of Birth (mm/dd/yyyy)
List all other names your current spouse or former conditional
permanent resident spouse has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)
6.c.
Middle Name
7.a. Family Name
(Last Name)
7.b. Given Name
(First Name)
7.c. Middle Name
Other Names Used
8.a.
8.b.
8.c.
8.d.
8.h.
8.g.
8.f.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
8.e.
ZIP Code
Country
Postal Code
Province
Provide your current spouse or former conditional permanent
resident spouse's physical addresses for the last five years.
Provide the present address first. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
Physical Address
Current Spouse
Former Conditional Permanent Resident Spouse
9.
Other Information
10. Date of Marriage (mm/dd/yyyy)
(mm/dd/yyyy)
Date Marriage Terminated (if applicable)
11.
Is this spouse currently living with you?
Yes No13. Is this spouse applying with you?
12.
Yes No
14. Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Is the current immigration status of your spouse or former
spouse based on your
current immigration status?
15.
Yes No
Part 4. Information About Your Children
Provide the following information about your children.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
FemaleMale2. Gender
►
A-
Alien Registration Number (A-Number) (if any)3.
USCIS Online Account Number (if any)4.
►
5. Date of Birth (mm/dd/yyyy)
Child 1
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)
6.c.
Middle Name
Other Names Your Child Has Used
Page 4 of 11
Form I-829 04/21/17 N
Part 4. Information About Your Children
(continued)
7.a.
7.b.
7.c.
7.d.
7.h.
7.g.
7.f.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
7.e.
ZIP Code
Country
Postal Code
Province
8.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Is this child currently living with you?
10.
Yes No
Yes No9. Is this child applying with you?
FemaleMale12. Gender
11.a. Family Name
(Last Name)
11.b. Given Name
(First Name)
11.c.
Middle Name
Mailing Address
Child 2
USCIS Online Account Number (if any)14.
►
15. Date of Birth (mm/dd/yyyy)
►
A-
Alien Registration Number (A-Number) (if any)13.
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
16.a. Family Name
(Last Name)
16.b. Given Name
(First Name)
16.c. Middle Name
Other Names Your Child Has Used
17.a.
17.b.
17.c.
17.d.
17.h.
17.g.
17.f.
Mailing Address
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
17.e.
ZIP Code
Country
Postal Code
Province
18.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Is this child currently living with you?
20.
Yes No
Yes No19. Is this child applying with you?
FemaleMale22. Gender
21.a. Family Name
(Last Name)
21.b. Given Name
(First Name)
21.c.
Middle Name
USCIS Online Account Number (if any)24.
►
25. Date of Birth (mm/dd/yyyy)
►
A-
Alien Registration Number (A-Number) (if any)23.
Child 3
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
26.a. Family Name
(Last Name)
26.b. Given Name
(First Name)
26.c. Middle Name
Other Names Your Child Has Used
Page 5 of 11
Form I-829 04/21/17 N
Part 4. Information About Your Children
(continued)
27.a.
27.b.
27.c.
27.d.
27.h.
27.g.
27.f.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
27.e.
ZIP Code
Country
Postal Code
Province
Mailing Address
28.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Is this child currently living with you?
30.
Yes No
Yes No29. Is this child applying with you?
FemaleMale32. Gender
31.a. Family Name
(Last Name)
31.b. Given Name
(First Name)
31.c. Middle Name
USCIS Online Account Number (if any)34.
►
35. Date of Birth (mm/dd/yyyy)
►
A-
Alien Registration Number (A-Number) (if any)33.
Child 4
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
complete this section, use the space provided in Part 12.
Additional Information.
36.a. Family Name
(Last Name)
36.b. Given Name
(First Name)
36.c. Middle Name
Other Names Your Child Has Used
37.a.
37.b.
37.c.
37.d.
37.h.
37.g.
37.f.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
37.e.
ZIP Code
Country
Postal Code
Province
Mailing Address
38.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
Is this child currently living with you?
40.
Yes No
Yes No39. Is this child applying with you?
If you need extra space to complete this section, use the space
provided in Part 12. Additional Information.
Part 5. Biographic Information
1.
2.
Not Hispanic or Latino
Hispanic or Latino
Ethnicity (Select only one box)
Race (Select all applicable boxes)
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
White
Asian
Black or African American
Height
4. Weight
Feet Inches3.
Pounds
Black Brown
Maroon
Pink
HazelGreen
Blue
5.
Eye Color (Select only one box)
Unknown/Other
Gray
White
Hair Color (Select only one box) 6.
Black
Brown Red
Unknown/Other
Sandy
Gray
BlondBald (No hair)
Page 6 of 11
Form I-829 04/21/17 N
Part 6. Additional Information About the
Regional Center and the New Commercial
Enterprise (NCE)
►
1.
Receipt Number for the Approved Form I-924,
Application For Regional Center Designation Under the
Immigrant Investor Program, Upon Which the Related
Form I-526, Immigrant Petition by Alien Entrepreneur,
Was Based
Was the Regional Center associated with the entrepreneur
terminated?
2.
Yes No
3.c.
3.d.
3.a.
3.b.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
3.e.
ZIP Code
Physical Address of the NCE
5.
Internet Web site Address (if established)
4.
Telephone Number
6.
Included Industries (select North American Industry
Classification System (NAICS) code or codes)
7.
IRS Tax Identification Number
9.
Amount of the Entrepreneur's Initial Investment
$
8.
Date Business Established (mm/dd/yyyy)
10.
Date of the Entrepreneur's Initial Investment
(mm/dd/yyyy)
11.c.
Type of Subsequent Investment (for example, cash,
equipment, inventory, other tangible property, cash
equivalents, or qualifying indebtedness as described in
8 CFR 204.6(e))
NOTE: If multiple investments have been made since the
entrepreneur's initial investment in the commercial enterprise,
use the space provided in Part 12. Additional Information to
list the dates, amounts, and type of investments.
11.b.
Amount of Subsequent Investment
$
14.
Provide the total amount of capital invested by EB-5
investors into the NCE.
Amount of Capital Investment Sustained in the NCE
12.
13.
Changes in Assets of the NCE. Has the commercial
enterprise sold any assets, including but not limited to
investment securities and real property, and distributed
the proceeds of the sale to any of its equity holders or had
any other capital distributions or withdrawals since the
date of your initial investment?
Yes No
If you answered “Yes” to Item Number 13., use the space
provided in Part 12. Additional Information to provide an
explanation.
15.
Provide the number of EB-5 investors associated with the
NCE.
16.
Has the NCE filed for bankruptcy, ceased business
operations, materially changed the nature of the business,
or made any changes in its organization or ownership
since the date of your initial investment, or have any
criminal or civil proceedings been filed against the NCE
or any of its owners, officers, directors, general partners,
managers or other persons with a similar interest or in a
similar position of authority for the NCE involving fraud
or other unlawful activity?
If you answered “Yes” to Item Number 16., use the space
provided in Part 12. Additional Information to provide an
explanation.
Yes No
Provide the following information about how much you have
invested in the NCE since your initial investment.
Subsequent Investments in the NCE
11.a. Date of Subsequent Investment
(mm/dd/yyyy)
$
$
Page 7 of 11
Form I-829 04/21/17 N
Part 7. Information About the Job Creating
Entity (JCE)
Name of the JCE
1.
2.c.
2.d.
2.a.
2.b.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
2.e.
ZIP Code
Physical Address
JCE 1
Name of the JCE
3.
4.c.
4.d.
4.a.
4.b.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
4.e.
ZIP Code
Physical Address
JCE 2
Name of the JCE
5.
6.c.
6.d.
6.a.
6.b.
Street Number
and Name
Apt. Flr.Ste.
City or Town
State
6.e.
ZIP Code
Physical Address
JCE 3
If there are additional JCEs, use Part 12. Additional
Information to provide the names and physical addresses of the
additional JCEs.
If you answered “Yes” to Item Number 7., use the space
provided in Part 12. Additional Information to provide an
explanation.
NoYes
Has any of the JCEs filed for bankruptcy, ceased business
operations, materially changed the nature of the business,
or made any changes in its organization or ownership
since the date of your initial investment, or have any
criminal or civil proceedings been filed against any of the
JCEs or any of their owners, officers, directors, general
partners, managers or other persons with a similar interest
or in a similar position of authority for any of the JCEs
involving fraud or other unlawful activity?
7.
Part 8. Information About Job Creation
Information about direct job creation at the NCE:
Number of Full-Time Direct and Qualifying Employees
in the NCE at the Time of Your Initial Investment
1.a.
Number of Full-Time Direct and Qualifying Employees
in the NCE at the Time of Filing This Petition
1.b.
Difference in Number of Full-Time Direct and Qualifying
Employees
1.c.
1.d. Amount of Capital Invested in the NCE That Was Not
Funded by EB-5 Investors
Information about indirect job creation outside of the NCE
(if applicable)
2.a. Number of Full-Time Economically Direct, Indirect and
Induced Jobs Created as a Result of EB-5 Investment
2.b. Amount of Capital From EB-5 Investors That Was
Transferred to the JCE
2.c. Amount of Capital Invested in the JCE That Was Not
Funded by Investors Who Received or are Seeking
Classification as Alien Entrepreneurs
3. Are you investing in a troubled business?
NoYes
If the investment was made into a troubled business:
4.a. How many full-time, qualifying positions were maintained
as a result of the investment?
4.b. How many full-time, qualifying positions were created as
a result of the investment?
$
$
$
Page 8 of 11
Form I-829 04/21/17 N
Part 8. Information About Job Creation
(continued)
5. If ten full-time jobs for qualifying employees have not yet
been created, please indicate the number of jobs expected
to be created within a reasonable time.
6. Changes to Business Plan. Have you made an investment
and created jobs in the United States according to the plan
presented in the Form I-526?
NoYes
If you answered “No” to Item Number 6., use the space
provided in Part 12. Additional Information to provide an
explanation of the changes made to the original business plan
submitted with the approved Form I-526.
Petitioner's Statement
Part 9. Petitioner's Statement, Contact
Information, Declaration, Certification, and
Signature
1.a.
NOTE: Select the box for either Item Number 1.a. or 1.b. If
applicable, select the box for Item Number 2.
NOTE: Read the Penalties section of the Form I-829
Instructions before completing this part.
I can read and understand English, and I have read
and understand every question and instruction on this
petition and my answer to every question.
1.b.
The interpreter named in Part 10. read to me every
question and instruction on this petition and my
answer to every question in
a language in which I am fluent, and I understood
everything.
,
prepared this petition for me based only upon
information I provided or authorized.
At my request, the preparer named in Part 11., 2.
Petitioner's Contact Information
Petitioner's Daytime Telephone Number3.
Petitioner's Email Address (if any)5.
Petitioner's Mobile Telephone Number (if any)4.
Petitioner's Declaration and Certification
Copies of any documents I have submitted are exact
photocopies of unaltered, original documents, and I understand
that USCIS may require that I submit original documents to
USCIS at a later date. Furthermore, I authorize the release of
any information from any and all of my records that USCIS
may need to determine my eligibility for the immigration
benefit I seek.
I further authorize release of information contained in this
petition, in supporting documents, and in my USCIS records, to
other entities and persons where necessary for the
administration and enforcement of U.S. immigration law.
I certify, under penalty of perjury, that all of the information in
my petition and any document submitted with it were provided
or authorized by me, that I reviewed and understand all of the
information contained in, and submitted with, my petition and
that all of this information is complete, true, and correct.
2) All of this information was complete, true, and correct
at the time of filing.
1) I reviewed and understood all of the information in,
and submitted with, my petition; and
I understand that USCIS will require me to appear for an
appointment to take my biometrics (fingerprints, photograph,
and/or signature) and, at that time, I will be required to sign an
oath reaffirming that:
NOTE TO ALL PETITIONERS: If you do not completely
fill out this petition or fail to submit required documents listed
in the Instructions, USCIS may deny your petition.
Date of Signature (mm/dd/yyyy)6.b.
Petitioner's Signature6.a.
Petitioner's Signature
Part 10. Interpreter's Contact Information,
Certification, and Signature
Provide the following information about the interpreter.
Interpreter's Given Name (First Name)1.b.
Interpreter's Family Name (Last Name)1.a.
Interpreter's Full Name
Interpreter's Business or Organization Name (if any)
2.
Page 9 of 11
Form I-829 04/21/17 N
Part 10. Interpreter's Contact Information,
Certification, and Signature (continued)
3.h.
Interpreter's Mailing Address
3.c. City or Town
3.d. State 3.e. ZIP Code
3.f. Province
Street Number
and Name
3.a.
Country
3.b. Apt.
Flr.Ste.
3.g. Postal Code
Interpreter's Contact Information
4. Interpreter's Daytime Telephone Number
Interpreter's Email Address (if any)6.
Interpreter's Mobile Telephone Number (if any)5.
which is the same language specified in Part 9., Item Number
1.b., and I have read to this petitioner in the identified language
every question and instruction on this petition and his or her
answer to every question. The petitioner informed me that he or
she understands every instruction, question, and answer on the
petition, including the Petitioner's Declaration and
Certification, and has verified the accuracy of every answer.
Interpreter's Certification
I certify, under penalty of perjury, that:
I am fluent in English and
,
Preparer's Mailing Address
3.h.
3.c. City or Town
3.d. State 3.e. ZIP Code
3.f.
Province
Street Number
and Name
3.a.
Country
3.b. Apt.
Flr.Ste.
3.g. Postal Code
Provide the following information about the preparer.
Part 11. Contact Information, Declaration, and
Signature of the Person Preparing this Petition,
if Other Than the Petitioner
1.a.
Preparer's Family Name (Last Name)
Preparer's Given Name (First Name)
1.b.
Preparer's Business or Organization Name (if any)2.
Preparer's Full Name
Preparer's Contact Information
4. Preparer's Daytime Telephone Number
Preparer's Email Address (if any)6.
5. Preparer's Mobile Telephone Number (if any)
Date of Signature (mm/dd/yyyy)7.b.
Interpreter's Signature7.a.
Interpreter's Signature
I am not an attorney or accredited representative but
have prepared this form on behalf of the authorized
individual and with the authorized individual's
consent.
7.a.
Preparer's Statement
7.b.
I am an attorney or accredited representative and
have prepared this form on behalf of the authorized
individual and with the authorized individual's
consent.
Page 10 of 11
Form I-829 04/21/17 N
Part 11. Contact Information, Declaration, and
Signature of the Person Preparing this Petition,
if Other Than the Petitioner (continued)
8.a. Preparer's Signature
8.b. Date of Signature (mm/dd/yyyy)
Preparer's Certification
By my signature, I certify, under penalty of perjury, that I
prepared this petition at the request of the petitioner. The
petitioner then reviewed this completed petition and informed
me that he or she understands all of the information contained
in, and submitted with, his or her petition, including the
Petitioner's Declaration and Certification, and that all of this
information is complete, true, and correct. I completed this
petition based only on information that the petitioner provided
to me or authorized me to obtain or use.
Preparer's Signature
NOTE: If you are an attorney or accredited representative, you
may be obliged to submit a completed Form G-28, Notice of
Entry of Appearance as Attorney or Accredited Representative,
or Form G-28I, Notice of Entry of Appearance as Attorney In
Matters Outside the Geographical Confines of the United States,
with this petition.
Page 11 of 11
Form I-829 04/21/17 N
Part 12. Additional Information
If you need extra space to provide any additional information
within this petition, use the space below. If you need more
space than what is provided, you may make copies of this page
to complete and file with this petition or attach a separate sheet
of paper. Type or print your name and A-Number (if any) at the
top of each sheet; indicate the Page Number, Part Number,
and Item Number to which your answer refers; and sign and
date each sheet.
3.a.
4.d.
Item Number4.c.Part Number4.b.Page Number4.a.
Page Number
3.b. Part Number 3.c. Item Number
3.d.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
►
A-
A-Number (if any)2.
5.a.
Page Number
5.b.
Part Number
5.c.
Item Number
5.d.
6.a.
Page Number
6.b.
Part Number
6.c.
Item Number
6.d.
7.a.
Page Number
7.b.
Part Number
7.c.
Item Number
7.d.
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Completed 17 November 2019

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