Instructions For Contract Between Sponsor And Household Member (Form I-864a) printable pdf download

Instructions for Contract Between Sponsor and

USCIS

Household Member

Form I-864A

OMB No. 1615-0075

Department of Homeland Security

Expires 07/31/2017

U.S. Citizenship and Immigration Services

What Is the Purpose of Form I-864A?

Form I-864A, Contract Between Sponsor and Household Member, is an attachment to Form I-864, Affidavit of Support

Under Section 213A of the INA. A separate Form I-864A must be used for each household member whose income

and/or assets are being used by a sponsor to qualify. Each Form I-864A is completed and signed by two individuals: a

sponsor who is completing Form I-864 and a household member who is promising to make his or her income

and/or assets available to the sponsor to help support the sponsored immigrants. The combined signing of this contract

constitutes an agreement that the household member is responsible along with the sponsor for the support of the

individuals named in this contract.

This contract must be submitted with Form I-864.

Form I-864A may only be used when a sponsor’s income and assets do not meet the income requirements of Form I-864

and the qualifying household member chooses to combine his or her resources with the income and/or assets of a sponsor

to meet the requirements. The obligations of the household member under this contract terminate when the obligations of

the sponsor under the Affidavit of Support terminate.

For additional information, see section 213A of the Immigration and Nationality Act (INA), and part 213a of Title 8 of the

Code of Federal Regulations.

What Is a Sponsor?

A sponsor is:

1. The petitioning relative;

2. A relative with a significant ownership interest in the petitioning entity; or

3. A substitute in the case of a deceased petitioner, or another person accepting joint and several liability with the

sponsor;

AND

4. Someone who completes and files Form I-864 on behalf of an intending immigrant. A sponsor must be an individual

and may not be an enterprise, a business, or any other type of organization.

Who May Be Considered a Household Member for Purposes of Form I-864A?

For purposes of this contract, a household member is:

1. A U.S. citizen, lawful permanent resident, or U.S. national relative who has the same principal residence as the

sponsor and is related to the sponsor as a spouse, adult child, parent, or sibling;

2. A U.S. citizen, lawful permanent resident, or U.S. national relative or other person whom the sponsor has lawfully

claimed as a dependent on the sponsor’s most recent Federal income tax return even if that person does not live at the

same residence as the sponsor; or

3. The intending immigrant, in certain circumstances. (See the How Can the Intending Immigrant Be Considered a

Household Member section of these Instructions.)

How Can the Intending Immigrant Be Considered a Household Member?

Listed below are two ways that the intending immigrant may be considered to be a household member for the purposes of

pooling income with the sponsor to meet the Affidavit of Support requirements:

1. The intending immigrant has the same principal residence as the sponsor and the intending immigrant can establish

that his or her income will continue from the same source, even after acquisition of lawful permanent residence; or

2. The intending immigrant is the sponsor’s spouse and the intending immigrant can show that his or her income will

continue from the same source after acquisition of lawful permanent residence.

Form I-864A Instructions 07/02/15 N

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Instructions For Contract Between Sponsor And Household Member (Form I-864a)

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