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I-751, Petition to Remove Conditions on Residence (United States)

This form is to adjust the status of a resident from temporary to permanent in the United States. The form provided here is simply a sample of what the actual Form I-698 looks like.

Department of Homeland Security
U.S. Citizenship Immigration and Service

I-751, Petition to Remove Conditions on Residence

Do not write in this block - For USCIS use only.

-----------------------------

FOR USCIS USE ONLY

Returned

Date ___________________

Resubmitted

Date ___________________

Reloc Sent

Date ___________________

Reloc Rec'd

Date ___________________

____ Petitioner Interviewed on ___________________

Receipt ___________________

Remarks _______________________________


Action Block _______________________________


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To Be Completed by Attorney or Representative, if any

____ Fill in box if G-28 is attached to represent the applicant

ATTY State License # ___________________

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START HERE - Please type or print in black ink.

Part 1. Information about you.

Family Name (Last Name) _______________________________

Given Name (First Name) _______________________________

Full Middle Name _______________________________

Address: (Street Number and Name) _______________________________

Apt. # _______________________________

C/O (In Care Of) _______________________________

City _______________________________

State/Province _______________________________

Country _______________________________

Zip/Postal Code _______________________________

Mailing Address, if different than above (Street Number and Name) _______________________________

Apt. # _______________________________

C/O (In Care Of) _______________________________

City _______________________________

State/Province _______________________________

Country _______________________________

Zip/Postal Code _______________________________

Date of Birth (mm/dd/yyyy) _______________________________

Country of Birth _______________________________

Country of Citizenship _______________________________

Alien Registration Number (A #) _______________________________

Social Security # (if any) _______________________________

Conditional Residence Expires on (mm/dd/yyyy) _______________________________

Daytime Phone # (Area/Country Codes) _______________________________

Part 2. Basis for petition. (Check one.)

a. ____ My conditional residence is based on my marriage to a U.S. citizen or permanent resident, and we are filing this petition together.

b. ____ I am a child who entered as a conditional permanent resident and I am unable to be included in a joint petition to remove the conditional basis of are alien's permanent residence (Form 1-751) filed by my parent(s).

OR

My conditional residence is based on my marriage to a U.S. citizen or permanent resident, but I am unable to file a joint petition and I request a waiver because: (Check one.)

c. ____ My spouse is deceased.

d. ____ I entered into the marriage in good faith but the marriage was terminated through divorce/annulment.

e. ____ I am a conditional resident spouse who entered a marriage in good faith, and during the marriage I was battered by or was the subject of extreme cruelty by my U.S. citizen or permanent resident spouse or parent.

f. ____ I am a conditional resident child who was battered by or subjected to extreme cruelty by my U.S. citizen or conditional resident parent(s).

g. ____ The termination of my status and removal from the United States would result in an extreme hardship.

Part 3. Additional information about you.

1. Other Names Used (including maiden name): _______________________________

2. Date of Marriage (mm/dd/yyyy) _______________________________

3. Place of Marriage _______________________________

4. If your spouse is deceased, give the date of death (mm/dd/yyyy) _______________________________

5. Are you in removal, deportation or rescission proceedings? ____ Yes ____ No

6. Was a fee paid to anyone other than an attorney in connection with this petition? ____ Yes ____ No

7. Since becoming a conditional resident, have you ever been arrested, cited, charged, indicted, convicted, fined or imprisoned for breaking or violating any law or ordinace (excluding traffic regulations), or committed any crime for which you were not arrested? ____ Yes ____ No

8. If you are married, is this a different marriage than the one through which conditional residence status was obtained? ____ Yes ____ No

9. Have you resided at any other address since you became a permanent resident? (If yes, attach a list of all addresses and dates.) ____ Yes ____ No

10. Is your spouse currently serving with or employed by the U.S. government and serving outside the United States? ____ Yes ____ No

If you answered "Yes" to any of the above, provide a detailed explanation on a separate sheet(s) of paper. Place your name and Alien Registration Number (A#) at the top of each sheet and give the number of the item that refers to your response.

Part 4. Information about the spouse or parent through whom you gained your conditional residence.

Family Name _______________________________

First Name _______________________________

Middle Name _______________________________

Address _______________________________

Date of Birth (mm/dd/yyyy) _______________________________

Social Security # (if any) _______________________________

A# (if any) _______________________________


Part 5. Information about your children. List all your children. Attach other sheet(s) if necessary.

Name (First/Middle/Last) _______________________________

Date of Birth (mm/dd/yyyy) _______________________________

A# (if any) _______________________________

If in U.S., give address/immigration status _______________________________

Living with you? ____ Yes ____ No


Name (First/Middle/Last) _______________________________

Date of Birth (mm/dd/yyyy) _______________________________

A# (if any) _______________________________

If in U.S., give address/immigration status _______________________________

Living with you? ____ Yes ____ No


Name (First/Middle/Last) _______________________________

Date of Birth (mm/dd/yyyy) _______________________________

A# (if any) _______________________________

If in U.S., give address/immigration status _______________________________

Living with you? ____ Yes ____ No


Part 6. Signature. Read the information on penalties in the instructions before completing this section. If you checked block "a" in Part 2, your spouse must also sign below.

I certify, under penalty of perjury of the laws of the United States of America, that this petition and the evidence submitted with it is all true and correct. If conditional residence was based on a marriage, I further certify that the marriage was entered in accordance with the laws of the place where the marriage took place and was not for the purpose of procuring an immigration benefit. I also authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit sought.

Signature _______________________________

Print Name _______________________________

Date (mm/dd/yyyy) _______________________________

Signature of Spouse _______________________________

Print Name _______________________________

Date (mm/dd/yyyy) _______________________________

NOTE: If you do not completely fill out this form or fail to submit any required documents listed in the instructions, you may not be found eligible for the requested benefit and this petition may be denied.

Part 7. Signature of person preparing form, if other than applicant.

I declare that I prepared this petition at the request of the above person and it is based on all information of which I have knowledge.

Signature _______________________________

Print Name _______________________________

Date (mm/dd/yyyy) _______________________________

Firm Name and Address _______________________________

Daytime Phone number (area/country codes) _______________________________

E-Mail Address (if any) _______________________________

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