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Application To Register Permanent Residence Or Adjust Status I-485 - Official Federal Forms
| Application To Register Permanent Residence Or Adjust Status Form. This is a national form and can be used in US Citizenship And Immigration Services . |
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OMB No. 1615-0023 Department of Homeland Security U.S. Citizenship and Immigration Services Form I-485, Application to Register Permanent Residence or Adjust Status For USCIS Use Only Returned Receipt START HERE - Type or Print (Use black ink) Part 1. Information About You Family Name (Last Name) Given Name (First Name) Middle Name Apt. # Address - Street Number and Name C/O (in care of) City Date of Birth (mm/dd/yyyy) State Country of Birth Resubmitted Zip Code Reloc Sent Country of Citizenship/Nationality U.S. Social Security # (if any) A # (if any) Date of Last Arrival (mm/dd/yyyy) Current USCIS Status I-94 # Expires on (mm/dd/yyyy) Reloc Rec'd Applicant Interviewed Part 2. Application Type (Check one) I am applying for an adjustment to permanent resident status because: a. An immigrant petition giving me an immediately available immigrant visa number that has been approved. (Attach a copy of the approval notice, or a relative, special immigrant juvenile, or special immigrant military visa petition filed with this application that will give you an immediately available visa number, if approved.) My spouse or parent applied for adjustment of status or was granted lawful permanent residence in an immigrant visa category that allows derivative status for spouses and children. I entered as a K-1 fiancé(e) of a U.S. citizen whom I married within 90 days of entry, or I am the K-2 child of such a fiancé(e). (Attach a copy of the fiancé(e) petition approval notice and the marriage certificate.) I was granted asylum or derivative asylum status as the spouse or child of a person granted asylum and am eligible for adjustment. I am a native or citizen of Cuba admitted or paroled into the United States after January 1, 1959, and thereafter have been physically present in the United States for at least 1 year. I am the husband, wife, or minor unmarried child of a Cuban described above in (e), and I am residing with that person, and was admitted or paroled into the United States after January 1, 1959, and thereafter have been physically present in the United States for at least 1 year. I have continuously resided in the United States since before January 1, 1972. Section of Law Sec. 209(a), INA Sec. 209(b), INA Sec. 13, Act of 9/11/57 Sec. 245, INA Sec. 249, INA Sec. 1 Act of 11/2/66 Sec. 2 Act of 11/2/66 Other b. Country Chargeable c. Eligibility Under Sec. 245 Approved Visa Petition Dependent of Principal Alien Special Immigrant Other d. e. Preference Action Block f. g. h. Other basis of eligibility. Explain (for example, I was admitted as a refugee, my status has not been terminated, and I have been physically present in the United States for 1 year after admission). If additional space is needed, see Page 2 of the instructions. I am already a permanent resident and am applying to have the date I was granted permanent residence adjusted to the date I originally arrived in the United States as a nonimmigrant or parolee, or as of May 2, 1964, whichever date is later, and: (Check one) i. I am a native or citizen of Cuba and meet the description in (e) above. j. I am the husband, wife, or minor unmarried child of a Cuban and meet the description in (f) above. To be Completed by Attorney or Representative, if any Fill in box if Form G-28 is attached to represent the applicant. VOLAG # ATTY State License # Form I-485 (Rev. 01/18/11) Y American LegalNet, Inc. www.FormsWorkFlow.com Part 3. Processing Information A. City/Town/Village of Birth Your Mother's First Name Current Occupation Your Father's First Name Give your name exactly as it appears on your Form I-94, Arrival-Departure Record Place of Last Entry Into the United States (City/State) In what status did you last enter? (Visitor, student, exchange visitor, crewman, temporary worker, without inspection, etc.) Were you inspected by a U.S. Immigration Officer? Nonimmigrant Visa Number Date Visa Issued (mm/dd/yyyy) Gender Male Yes No Consulate Where Visa Was Issued Marital Status Married Female Single Divorced Widowed No Have you ever applied for permanent resident status in the U.S.? Yes (If "Yes" give date and place of filing and final disposition.) B. List your present spouse and all of your children (include adult sons and daughters). (If you have none, write "None." If additional space is needed, see Page 2 of the instructions.) Family Name (Last Name) Country of Birth Family Name (Last Name) Country of Birth Family Name (Last Name) Country of Birth Family Name (Last Name) Country of Birth Family Name (Last Name) Country of Birth Given Name (First Name) Relationship Given Name (First Name) Relationship Given Name (First Name) Relationship Given Name (First Name) Relationship Given Name (First Name) Relationship Middle Initial Date of Birth (mm/dd/yyyy) A # (if any) Applying with you? Yes No Middle Initial Date of Birth (mm/dd/yyyy) A # (if any) Applying with you? Yes No Middle Initial Date of Birth (mm/dd/yyyy) A # (if any) Applying with you? Yes No Middle Initial Date of Birth (mm/dd/yyyy) A # (if any) Applying with you? Yes No Middle Initial Date of Birth (mm/dd/yyyy) A # (if any) Applying with you? Yes No Form I-485 (Rev. 01/18/11) Y Page 2 American LegalNet, Inc. www.FormsWorkFlow.com Part 3. Processing Information (Continued) C. List your present and past membership in or affiliation with every organization, association, fund, foundation, party, club, society, or similar group in the United States or in other places since your 16th birthday. Include any military service in this part. If none, write "None." Include the name of each organization, location, nature, and dates of membership. If additional space is needed, attach a separate sheet of paper. Continuation pages must be submitted according to the guidelines provided on Page 2 of the instructions under "What Are the General Filing Instructions?" Name of Organization Location and Nature Date of Membership Date of Membership From To Answer the following questions. (If your answer is "Yes" to any question, explain on a separate piece of paper. Continuation pages must be submitted according to the guidelines provided on Page 2 of the instructions under "What Are the General Filing Instructions?" Information about documentation that must be include with your application is also provide in this section.) Answering "Yes" does not necessarily mean that you are not entitled to adjust status or register for permanent residence. 1. Have you EVER, in or outside the United States: a. K
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