I-864A, Contract Between Sponsor and Household Member

Purpose of Form

Use this form if you are a household member and want to promise to make your income and/or assets available to help support sponsored immigrants. 

Number of Pages

Form 8; instructions 10.

Edition Date

03/06/18. You can find the edition date at the bottom of the page on the form and instructions.

Where to File

File this form with Form I-864, Affidavit of Support.

Don’t forget to sign your form! We will reject any unsigned form.

Filing Fee

$0

Special Instructions

You must submit a photocopy or an Internal Revenue Service-issued transcript of your complete federal income tax return for your most recent tax year, or an explanation if you do not submit it.

You may also, at your option, submit a photocopy or an Internal Revenue Service-issued transcript of your complete federal income tax returns for your second and third most recent tax years if you believe these additional tax returns may help you establish the ability to maintain your household income at the governing threshold set forth in Form I-864P, Poverty Guidelines.

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