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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Form I-829 05/07/15 N
Relocated (mm/dd/yyyy)
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: 03/31/2017
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 to represent
the petitioner.
Attorney State Bar Number
(if applicable)
Attorney or Accredited Representative
USCIS ELIS Account Number (if any)
START HERE - Type or print legibly in black ink. ►
1.
Part 1. Information About Regional Center
Was the investment by the entrepreneur associated with
an approved regional center?
Yes No
If you answered “Yes” to Item Number 1., please complete
Item Numbers 2.a. - 2.c.
2.a. Name of Regional Center
2.b. Regional Center Identification Number
Receipt number for the approved Form I-924, Application
For Regional Center Under the Immigrant Investor
Program, upon which the related Form I-526, Immigrant
Petition by Alien Entrepreneur, was based
2.c.
Part 2. Basis for Petition
1.
I am a conditional permanent resident based on my
investment in a commercial enterprise.
2. 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.
3.
I am a conditional permanent resident spouse or child
of an entrepreneur who has died.
Part 3. Information About You
►
A-
Alien Registration Number (A-Number) (if any)2.
USCIS ELIS Account Number (if any)3.
►
U.S. Social Security Number (if any)
4.
►
►
6.a. Family Name
(Last Name)
6.b. Given Name
(First Name)
6.c.
Middle Name
Select only one box.
5. 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
Other Names You Have Used (including maiden name,
nicknames, and aliases, if any)
7.a. Family Name
(Last Name)
7.b. Given Name
(First Name)
7.c.
Middle Name
Page 1 of 11
►
Form I-829 05/07/15 N
8.d. City or Town
Street Number
and Name
8.b.
Flr.Ste.
Apt.8.c.
Part 3. Information About You (continued)
Street Number
and Name
10.a.
10.c. City or Town
10.d. State 10.e. ZIP Code
10.f.
10.g.
Province
10.h. Country
10.b. Apt.
Flr.Ste.
8.e. State 8.f. ZIP Code
Is your mailing address the same as your physical address?9.
Yes No
If your mailing address and the address where you currently live
(physical address) are not the same, you MUST provide your
current physical address in the Item Numbers 10.a. - 10.h.
11.
12.
Date of Birth (mm/dd/yyyy)
Gender Male
Female
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)?
15.
Yes No
Since becoming a conditional permanent resident, have
you EVER committed any crime for which you were not
arrested?
16.
Yes No
If you answered “Yes” to Item Number 15., 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 16.,
provide the date and location (town or city/state or province/
country) of the events and provide an explanation in Part 11.
Additional Information.
Part 4. Information About Your Current Spouse
or Your Former Conditional Permanent
Resident Spouse
Middle Name
6.c.
Given Name
(First Name)
6.b.
Family Name
(Last Name)
6.a.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
2. Gender Male Female
►
A-
A-Number (if any)
4. USCIS ELIS Account Number (if any)
Other Names Used (if applicable)
3.
8.a. In Care Of Name (if any)
►
5.
Date of Birth (mm/dd/yyyy)
Your U.S. Mailing Address
Your Physical Address
Other Information About You
Country of Citizenship or Nationality
14.
Country of Birth
13.
Criminal History
7.a. Family Name
(Last Name)
7.b. Given Name
(First Name)
7.c.
Middle Name
Page 2 of 11
Postal Code
Form I-829 05/07/15 N
Part 4. Information About Your Current Spouse
or Your Former Conditional Permanent
Resident Spouse (continued)
►
A-
A-Number (if any)3.
Female2. Gender Male
Part 5. Information About Your Children
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
5. Date of Birth (mm/dd/yyyy)
Mailing Address
Street Number
and Name
8.a.
8.c. City or Town
8.d. State 8.e. ZIP Code
8.f.
8.g.
Province
8.h. Country
8.b. Apt.
Flr.Ste.
10.
(mm/dd/yyyy)
Date Marriage Terminated
11.
Date of Marriage (mm/dd/yyyy)
Other Information
Child 1
Provide the following information about your children.
Is this spouse currently living with you?
Current Spouse
Former Conditional Permanent Resident Spouse
9.
Yes No13. Is this spouse applying with you?
12. Yes No
14.
Current Immigration Status (for example, conditional
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
4. USCIS ELIS Account Number (if any)
►
Middle Name
6.c.
Given Name
(First Name)
6.b.
Family Name
(Last Name)
6.a.
Other Names Used (if applicable)
Mailing Address
Street Number
and Name
7.a.
7.c. City or Town
7.d. State 7.e. ZIP Code
7.f.
Postal Code7.g.
7.h. Country
7.b. Apt. Flr.Ste.
Page 3 of 11
Postal Code
Province
NOTE: If you have both a current spouse and a former
conditional permanent resident spouse, use Part 11. 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 4. above.
8.
Yes No
Is this child currently living with you? Yes No
9. Is this child applying with you?
Current Immigration Status (for example, conditional
resident, tourist/visitor, entered without inspection)
10.
Form I-829 05/07/15 N
Part 5. Information About Your Children
(continued)
Child 2
►
A-
A-Number (if any)13.
Female12. Gender Male
11.a. Family Name
(Last Name)
11.b. Given Name
(First Name)
11.c.
Middle Name
15. Date of Birth (mm/dd/yyyy)
14. USCIS ELIS Account Number (if any)
►
Middle Name
16.c.
Given Name
(First Name)
16.b.
Family Name
(Last Name)
16.a.
Other Names Used (if applicable)
Page 4 of 11
Mailing Address
Street Number
and Name
17.a.
17.c. City or Town
17.d. State 17.e. ZIP Code
17.f.
Postal Code17.g.
17.h. Country
17.b. Apt.
Flr.
Ste.
Province
18.
Current Immigration Status (for example, conditional
resident, tourist/visitor, entered without inspection)
Is this child currently living with you?
20.
Yes No
Yes No19. Is this child applying with you?
Child 3
Female22. Gender Male
21.a. Family Name
(Last Name)
21.b. Given Name
(First Name)
21.c.
Middle Name
►
A-
A-Number (if any)23.
Mailing Address
Street Number
and Name
27.a.
27.c. City or Town
27.d. State 27.e. ZIP Code
27.f.
Postal Code27.g.
27.h. Country
27.b. Apt.
Flr.
Ste.
24. USCIS ELIS Account Number (if any)
►
25. Date of Birth (mm/dd/yyyy)
Middle Name
26.c.
Given Name
(First Name)
26.b.
Family Name
(Last Name)
26.a.
Other Names Used (if applicable)
Province
28.
Current Immigration Status (for example, conditional
resident, tourist/visitor, entered without inspection)
Is this child currently living with you?
30.
Yes No
Yes No29. Is this child applying with you?
Form I-829 05/07/15 N
Part 5. Information About Your Children
(continued)
Child 4
31.a. Family Name
(Last Name)
31.b. Given Name
(First Name)
31.c.
Middle Name
Female32. Gender Male
►
A-
A-Number (if any)33.
34. USCIS ELIS Account Number (if any)
►
35. Date of Birth (mm/dd/yyyy)
Middle Name
36.c.
Given Name
(First Name)
36.b.
Family Name
(Last Name)
36.a.
Other Names Used (if applicable)
Mailing Address
Street Number
and Name
37.a.
37.c. City or Town
37.d. State 37.e. ZIP Code
37.f.
Postal Code37.g.
37.h. Country
37.b. Apt.
Flr.
Ste.
38.
Current Immigration Status (for example, conditional
resident, tourist/visitor, entered without inspection)
Is this child currently living with you?
40.
Yes No
Yes No39. Is this child applying with you?
Page 5 of 11
Province
If you need extra space to list additional children, use the space
provided in Part 11. Additional Information 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.
1.
2.
Height
4. Weight
Feet Inches
3.
Pounds
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
Black Brown
Maroon
Pink
HazelGreen
Blue
5.
Eye Color (Select only one box)
Unknown/Other
Gray
Part 6. Your Biographic Information
White
Hair Color (Select only one box) 6.
Black
Brown Red
Unknown/Other
Sandy
Gray
BlondBald (No hair)
3. NCE resulting from a capital investment in, and
substantial expansion of, a business formed on or
before November 29, 1990.
Part 7. Information About the New Commercial
Enterprise (NCE)
2.
NCE resulting from the purchase of a business,
formed on or before November 29, 1990, that has
been restructured or reorganized.
1.
NCE formed after November 29, 1990.
Type of Enterprise
Form I-829 05/07/15 N Page 6 of 11
Part 7. Information About the New Commercial
Enterprise (NCE) (continued)
Additional Information About the NCE
4.
Name of the NCE
8.
Type of Business Organization (for example, corporation,
limited liability company, partnership)
10.
Included Industries (select North American Industry
Classification System (NAICS) code or codes)
7.
Internet Web site Address (if established)
9.
Nature of Business (for example, furniture manufacturer)
6.
Telephone Number
11.
IRS Tax Identification Number
Street Number
and Name
5.a.
5.c. City or Town
5.d. State 5.e. ZIP Code
5.b. Apt.
Flr.Ste.
Physical Address
Is this petition based on investment in a troubled business?16.
Yes No
15.
What percentage of the NCE does the entrepreneur own?
13.
Amount of the Entrepreneur's Initial Investment
in the NCE
$
12. Date Business Established
(mm/dd/yyyy)
14. Date of the Entrepreneur's Initial Investment
(mm/dd/yyyy)
Subsequent Investments in the NCE
Provide the following information about how much the
entrepreneur has invested in the NCE since the entrepreneur's
initial investment.
17.a. Date of Subsequent Investment
(mm/dd/yyyy)
17.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 Part 11. Additional Information to list the dates, amounts,
and type of investments.
17.b. Amount of Subsequent Investment
$
20.a.
If the NCE is associated with an approved regional center,
how many indirect jobs were created?
20.b.
If the investment was made into a troubled business, how
many jobs were maintained as a result of the investment?
21.
If the NCE is associated with an approved regional center,
how many indirect jobs will the NCE create within a
reasonable amount of time after filing this petition?
Currently Employed in the NCE
18.b.
At the time of the Entrepreneur's Initial Investment18.a.
Provide the number of full-time positions for direct and
qualifying employees in the NCE in the United States
(excluding you, your spouse, and your children):
Full-time Positions and Qualifying Employees
Job Creation
19.a.
How many new direct jobs did the entrepreneur's
investment create?
19.b.
How many new direct jobs will
the entrepreneur's
investment create within a reasonable amount of time
after filing this petition?
Form I-829 05/07/15 N
Part 7. Information About the New Commercial
Enterprise (NCE) (continued)
24.a. Year (yyyy)
24.b. Gross Income
24.c. Net Income $
$
23.b. Gross Income
$
23.a. Year (yyyy)
23.c. Net Income $
22.b. Gross Income
22.c. Net Income $
$
Provide the gross and net incomes generated annually by the
commercial enterprise since the entrepreneur's initial investment.
Include all income generated in the present year to date.
22.a. Year (yyyy)
Gross and Net Incomes
Has the commercial enterprise 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 the
entrepreneur's initial investment?
25.
Yes No
Has the commercial enterprise sold any corporate assets,
shares, or property, or had any capital withdrawn since
the date of the entrepreneur's initial investment?
26.
Yes No
NOTE: If you answered “Yes” to Item Number 25. or 26.,
provide an explanation in Part 11. Additional Information.
Page 7 of 11
28.
Provide the total amount of EB-5 capital invested into the
NCE.
If you need extra space to provide additional information for
any item in Part 7., use the space provided in Part 11.
Additional Information 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.
Provide the total number of EB-5 investors associated
with the NCE.
27.
1.b.
The interpreter named in Part 9. has read every
question and instruction on this petition, as well as
my answer to every question, in
a language in which I am fluent. I understand every
question and instruction on this petition as translated
to me by my interpreter, and have provided complete,
true, and correct responses in the language indicated
above. The interpreter named in Part 9. has also
read the Acknowledgement of Appointment at
USCIS Application Support Center to me, in the
language in which I am fluent, and I understand this
Application Support Center (ASC)
Acknowledgement as read to me by my interpreter.
,
2. I have requested the services of and consented to
who is is not an attorney or accredited
representative, in preparing this petition for me. This
person who assisted me in preparing my petition has
reviewed the Acknowledgement of Appointment at
USCIS Application Support Center with me, and I
understand the ASC Acknowledgement.
,
Petitioner's Statement
Part 8. Petitioner's Statement, Contact
Information, Acknowledgement of Appointment
at USCIS Application Support Center,
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 information on penalties in the Penalties
section of the Form I-829 Instructions before completing this
part.
I can read and understand English, and have read and
understand every question and instruction on this
petition, as well as my answer to every question. I
have read the Acknowledgement of Appointment at
USCIS Application Support Center.
Petitioner's Contact Information
Petitioner's Daytime Telephone Number3.
Petitioner's Email Address (if any)5.
Petitioner's Mobile Phone Number (if any)4.
Form I-829 05/07/15 N
Acknowledgement of Appointment at USCIS
Application Support Center
I, ,
understand that the purpose of a USCIS ASC appointment is for
me to provide fingerprints, photograph, and/or signature and to
re-affirm that all of the information in my petition is complete,
true, and correct and was provided by me. I understand that I
will sign my name to the following declaration which USCIS
will display to me at the time I provide my fingerprints,
photograph, and/or signature during my ASC appointment.
By signing here, I declare under penalty of perjury that I
have reviewed and understand my application, petition, or
request as identified by the receipt number displayed on the
screen above, and all supporting documents, applications,
petitions, or requests filed with my application, petition, or
request that I (or my attorney or accredited representative)
filed with USCIS, and that all of the information in these
materials is complete, true, and correct.
I also understand that when I sign my name, provide my
fingerprints, and am photographed at the USCIS ASC, I will be
re-affirming that I willingly submit this petition; I have reviewed
the contents of this petition; all of the information in my petition
and all supporting documents submitted with my petition were
provided by me and are complete, true, and correct; and if I was
assisted in completing this petition, the person assisting me also
reviewed this Acknowledgement of Appointment at USCIS
Application Support Center with me.
Petitioner's 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 that I seek.
I furthermore 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 laws.
I certify, under penalty of perjury, that the information in my
petition and any document submitted with my petition were
provided by me and are complete, true and correct.
Page 8 of 11
Part 8. Petitioner's Statement, Contact
Information, Acknowledgement of Appointment
at USCIS Application Support Center,
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
Part 9. Interpreter's Certification, Contact
Information, 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.
NOTE TO ALL PETITIONERS: If you do not completely
fill out this petition or fail to submit required documents listed
in the instructions, your petition may be denied.
(mm/dd/yyyy)Date of Signature6.b.
Petitioner's Signature6.a.
Petitioner's Signature
Interpreter's Contact Information
4. Interpreter's Daytime Telephone Number
Interpreter's Email Address (if any)5.
Form I-829 05/07/15 N
The petitioner has also informed me that he or she understands
the ASC Acknowledgement and that by appearing for a USCIS
ASC biometric services appointment and providing his or her
fingerprints, photograph, and/or signature, he or she is
re-affirming that the contents of this petition and all supporting
documentation are complete, true, and correct.
(mm/dd/yyyy)Date of Signature6.b.
Interpreter's Signature6.a.
Interpreter's Signature
Page 9 of 11
Interpreter's Certification
I certify that:
is the same language provided in Part 8., Item Number 1.b.;
I have read to this petitioner every question and instruction on
this petition, as well as the answer to every question, in the
language provided in Part 8., Item Number 1.b.; and
I have read the Acknowledgement of Appointment at USCIS
Application Support Center to the petitioner in the same
language provided in Part 8., Item Number 1.b.
The petitioner has informed me that he or she understands every
instruction and question on the petition, as well as the answer to
every question, and the petitioner verified the accuracy of every
answer; and
I am fluent in English and , which
Part 9. Interpreter's Certification, Contact
Information, and Signature (continued)
Part 10. Contact Information, Statement,
Certification, and Signature of the Person
Preparing this Petition, If Other Than the
Petitioner
Provide the following information about the preparer.
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 Fax Number (if any)
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
I am not an attorney or accredited representative but
have prepared this petition on behalf of the petitioner
and with the petitioner's consent.
7.a.
Preparer's Statement
7.b.
the preparation of this petition.
NOTE: If you are an attorney or accredited representative
whose representation extends beyond preparation of this
petition, you must submit a completed Form G-28, Notice of
Attorney or Accredited Representative, with this petition.
I am an attorney or accredited representative and my
representation of the petitioner in this case
extends does not extend beyond
Form I-829 05/07/15 N Page 10 of 11
8.a. Preparer's Signature
8.b. Date of Signature (mm/dd/yyyy)
Preparer's Certification
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. I completed
this petition based only on responses the petitioner provided to
me. After completing the petition, I reviewed it and all of the
petitioner's responses with the petitioner, who agreed with every
answer on the petition. If the petitioner supplied additional
information concerning a question on the petition, I recorded it
on the petition. I have also read the Acknowledgement of
Appointment at USCIS Application Support Center to the
petitioner and the petitioner has informed me that he or she
understands the ASC Acknowledgement.
Preparer's Signature
Part 10. Contact Information, Statement,
Certification, and Signature of the Person
Preparing this Petition, If Other Than the
Petitioner (continued)
Form I-829 05/07/15 N Page 11 of 11
Part 11. 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. Include 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.
5.a.
Page Number
5.b.
Part Number
5.c.
Item Number
5.d.
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c.
Middle Name
►
A-
A-Number (if any)2.
6.a.
Page Number
6.b.
Part Number
6.c.
Item Number
6.d.
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I-829 Form I-829

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Completed 27 February 2020

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