Overview
Work History
Employment
Household Size
Income
Sponsor Obligations
Address
Social Security Number
Personal Information
Immigrant Information
Timeline
Generic

Aimisuli Awad

Edwards,CO

Overview

1
1
year of professional experience

Work History

Shift Supervisor

Vail Health
01.2024 - Current
  • Tax Yearc
  • Enter the net cash value of real-estate holdings
  • (Net value means current assessed value minus mortgage debt.) $ $
  • If your income, or the total income for you and your household, from Part 6., Item Numbers 20
  • Or 24.a
  • 24.c., exceeds the
  • Federal Poverty Guidelines for your household size, YOU ARE
  • NOT REQUIRED to complete this Part 7
  • Skip to Part 8
  • Your Assets (Optional)
  • Enter the balance of all savings and checking accounts
  • TOTAL: $ $
  • Assets, Name of Relativeb.a
  • Assets of the principal sponsored immigrant (optional)
  • My Current Annual Household Income (Total all lines from Part 6
  • Item Numbers 7., 10., 13., 16., and 19.; the total will be compared to Federal Poverty Guidelines on
  • Form I-864P.) The people listed in Item Numbers 8., 11., 14., and have completed Form I-864A
  • I am filing along with this affidavit all necessary Form I-864As completed by these people
  • Enter the current cash value of the principal immigrant's stocks, bonds, certificates of deposit, and other assets not included in Item Number 6
  • Or Item Number 7
  • Part 6
  • Sponsor's Employment and Income (continued)
  • Part 7
  • Use of Assets to Supplement Income (Optional)
  • The principal sponsored immigrant is the person listed in Part, Item Numbers 1.a
  • 1.c
  • Only include the assets if the principal immigrant is being sponsored by this affidavit of support
  • N/A 2021 34858.0000202200
  • N/A
  • N/A
  • N/A, A
  • Form I-864 Edition 12/08/21 E
  • For
  • USCIS
  • Use
  • Only
  • Page 6 of 10 Add together Item Numbers 4., 5.b., and 9
  • And enter the number here
  • Total Value of Assets
  • Add together Item Numbers 6
  • 8
  • And enter the number here
  • TOTAL:
  • Household Size 4
  • Remarks, Poverty Guideline $ 5 6The total value of all assets, line 10, must equal 5 times (3 times for spouses and children of
  • USC's, or 1 time for orphans to be formally adopted in the U.S.) the difference between the poverty guidelines and the sponsor's household income, line 10
  • Sponsor's Household Income (Page 5, Line 10) $
  • Please note that, by signing this Form I-864, you agree to assume certain specific obligations under the Immigration and
  • Nationality Act (INA) and other Federal laws
  • The following paragraphs describe those obligations
  • Please read the following information carefully before you sign Form I-864
  • If you do not understand the obligations, you may wish to consult an attorney or accredited representative
  • The U.S
  • Government cannot make you sign Form 1-864 if you do not want to do so
  • But if you do not sign Form I-864, the intending immigrant may not become a lawful permanent resident in the United States
  • What If I Choose Not to Sign Form I-864?
  • What Does Signing Form I-864 Require Me To Do?
  • If an intending immigrant becomes a lawful permanent resident in the United States based on a Form I-864 that you have signed, then, until your obligations under Form I-864 terminate, you must:
  • NOTE: Read the Penalties section of the Form I-864
  • Instructions before completing this part
  • Sponsor's Contract
  • A
  • Provide the intending immigrant any support necessary to maintain him or her at an income that is at least 125 percent of the Federal Poverty Guidelines for his or her household size (100 percent if you are the petitioning sponsor and are on active duty in the
  • U.S
  • Armed Forces or U.S
  • Coast Guard, and the person is your husband, wife, or unmarried child under 21 years of age); and
  • Notify U.S
  • Citizenship and Immigration Services (USCIS) of any change in your address, within 30 days of the change, by filing Form I-865
  • B
  • What is the Legal Effect of My Signing Form I-864?
  • If you sign Form I-864 on behalf of any person (called the intending immigrant) who is applying for an immigrant visa or for adjustment of status to a lawful permanent resident, and that intending immigrant submits Form I-864 to the U.S
  • Government with his or her application for an immigrant visa or adjustment of status, under INA section 213A, these actions create a contract between you and the U.S
  • Government
  • The intending immigrant becoming a lawful permanent resident is the consideration for the contract
  • If an intending immigrant becomes a lawful permanent resident in the United States based on a Form I-864 that you have signed, then, until your obligations under Form I-864 terminate, the U.S
  • Government may consider (deem) your income and assets as available to that person, in determining whether he or she is eligible for certain Federal means-tested public benefits and also for state or local means-tested public benefits, if the state or local government's rules provide for consideration (deeming) of your income and assets as available to the person
  • What Other Consequences Are There?
  • Under this contract, you agree that, in deciding whether the intending immigrant can establish that he or she is not inadmissible to the United States as a person likely to become a public charge, the U.S
  • Government can consider your income and assets as available for the support of the intending immigrant
  • If you do not provide sufficient support to the person who becomes a lawful permanent resident based on a Form I-864 that you signed, that person may sue you for this support
  • What If I Do Not Fulfill My Obligations?
  • Part 7
  • Use of Assets to Supplement Income (Optional) (continued)
  • Part 8
  • Sponsor's Contract, Statement, Contact
  • Information, Declaration, Certification, and
  • Signature
  • This provision does not apply to public benefits specified in section 403(c) of the Welfare Reform Act such as emergency
  • Medicaid, short-term, non-cash emergency relief; services provided under the National School Lunch and Child Nutrition
  • Acts; immunizations and testing and treatment for communicable diseases; and means-tested programs under the
  • Elementary and Secondary Education Act.

Employment

Vail health

Household Size

1

Income

40000, 34858, 45113, 31115

Sponsor Obligations

True, 12/08/21, Becomes a U.S. citizen, Has worked, or can receive credit for, 40 quarters of coverage under the Social Security Act, No longer has lawful permanent resident status and has departed the United States, Is subject to removal, but applies for and obtains, in removal proceedings, a new grant of adjustment of status, based on a new affidavit of support, if one is required, Dies

Address

PO Box 4218, CO, 81632, United States, 40 River Pines Ct, B-308, CO, 81632, United States

Social Security Number

092760617

Personal Information

Date of Birth: 09/17/84

Immigrant Information

Pavel, Andre, Vasquez Duarte, 07/08/09, Mexico

Timeline

Shift Supervisor

Vail Health
01.2024 - Current

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Aimisuli Awad