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Immigration Bond (United States)

This form is for an immigration bond in the United States. The form provided here is simply a sample of what the actual Form I-352 looks like.

U. S. Department of Justice
Immigration and Naturalization Service

Immigration Bond

Power No. _______________________________

(Bonded Alien) File No. _______________________________

Bond Receipt No. _______________________________


A. Name of Obligor: _______________________________

Street address of Obligor: _______________________________

City, State and Zip Code: _______________________________

Telephone: _______________________________

Address to use for notice purposes: ____ Obligor ____ Agent ____ Both

If this is executed by a surety company the rate of premium is: ______________

and the amount of premium is: _____________

The name and address of the person who executed a written instrument with the surety company requesting it to post bond is _______________________________

B. Information about alien for whom bond is furnished: Name: _______________________________

Current Location (i.e., where detained): _______________________________

Date and country of birth: _______________________________

Nationality _______________________________

Date, port and means of arrival in the United States: _______________________________

Alien to reside at: _______________________________

Telephone number at alien's residence: _______________________________

C. In consideration of the facts recited in paragraph or paragraphs herein numbered ____________

and captioned ______________________________

and in any rider or riders lettered ______________________________

and captioned ______________________________,

the above named obligor and the agent acting on its behalf (if any), by subscribing hereto, hereby declare that they are firmly bound unto the United States

in the sum of ________________ dollars ($_____________) unless the guarantee of the bond is that the alien shall not become a public charge, the obligor, and the agent acting on its behalf (if any), declare themselves bound in such amount or successive amounts as are prescribed in paragraph (G-2) herein as liquidated damages and not as penalty, which sum is to be paid to the United States immediately upon failure to comply with the terms set forth in any such paragraph or rider. The obligor and agent further agree that any notice to him/her in connection with this bond may be accomplished by mail, directed to him/her at the above address. The obligor acknowledges receipt of a copy of the executed bond and any attached rider or riders specified above.

D. Signed and sealed this ____________ day of _______________ (Month/Year)

______________________________ (Signature of Obligor)

______________________________ (Signature of Agent (if any))

E. Bond approved and accepted at ______________________________ (City and State)

on ______________________________ (Day)

______________________________ (District Director)

F. Surety Company ______________________________

Taxpayer Identification Number ______________________________

Agent-Bonding Company ______________________________

Taxpayer Identification Number ______________________________

Obligors-Cash/Treasury Bond ______________________________

Taxpayer Identification Number ______________________________

31 U.S.C. 7701(c)(1) requires each person doing business with a federal government agency to furnish that agency such person's taxpayer identification number. It is the intent of the INS to use such number for purposes of collecting and reporting information on any delinquent accounts arising out of such person's relationship with the Government. The obligor, surety, or agent must furnish its Taxpayer Identification Number (TIN) to INS. Failure to furnish the TIN will result in a refusal of the bond.

(Bonded Alien) File No. ______________________________

Bond Receipt No. ______________________________

G. (1) BOND CONDITIONED UPON THE DELIVERY OF AN ALIEN. In consideration of the granting of the application of the above alien for release from custody under a warrant of arrest issued by the Attorney General charging that he/she is unlawfully in the United States, provided there is furnished a suitable bond as authorized by Section 236 and/or Section 241 of the Immigration and Nationality Act, the obligor hereby furnishes such bond with the following conditions if: (1) the alien is released from custody and if the obligor shall cause the alien to be produced or to produce himself/herself to an immigration officer or an immigration judge of the United States, as specified in the appearance notice, upon each and every written request until exclusion/deportation/removal proceedings in his/her case are finally terminated; (2) the said alien is accepted by the INS for detention or deportation/removal; or (3) the bond is otherwise canceled, this obligation shall terminate. If, however, the obligor fails to surrender the alien in response to a timely demand while the bond remains in effect, the full amount of the bond (see Paragraph C above), becomes due and payable. The obligor further agrees that no order issued by or under the authority of the Attorney General by virtue of which issuance or execution of any order of deportation/removal is or may be deferred, shall be in any manner construed to impair or render void this obligation or any part thereof.

(2) BOND THAT ALIEN SHALL NOT BECOME A PUBLIC CHARGE. In consideration of the granting of the application of the above alien for permission to enter the United States, providing there is furnished a suitable bond that he/she will not become a public charge, the obligor hereby furnishes such bond with the following conditions: if the alien is admitted to the United States and accepts any form of public assistance that leads to a final determination under either 8 U.S.C. 1227(a)(5); 8 CFR 23.10 - 237.18 that the alien has become a "public charge" or under 8 U.S.C. 1182(a)(4) that the alien is likely to become a "public charge," the obligor shall pay to the United States or to any State, Territory, county, town, municipality or district thereof, which shall have provided such public assistance any or all charges or expenses arising therefrom up to the total amount of the bond. As described in those regulations, the only forms of public assistance that will be considered in making a public charge finding are cash for income maintenance purposes or the government's costs for providing the alien with long-term care in an institution. In the event that the public authority providing the assistance is not authorized to accept reimbursement, the obligor agrees that he/she will promptly pay the actual expenses to the Immigration and Naturalization Service. If the obligor fails to pay all charges or expenses within 30 days after notice to him/her by the INS that the alien received a form of public assistance that was considered in making a determination that the alien has become or is likely to become a "public charge" under the statutes and regulations referenced in this paragraph, provided that in no event shall the liability of the obligor exceed the total amount of bond, then INS may cease to do business with the obligor or co-obligor. Any such amounts collected by the INS, which are not turned over to the public authority providing the assistance will be deposited in the Breached Bond Detention Fund. Not withstanding any violation of this bond and any payment made pursuant to the terms thereof, this obligation shall remain in full force and effect as to the remainder of the liability of this obligation until the departure, naturalization or death of the alien. It is further agreed that suit to enforce any of the conditions of this bond may be instituted by either United States, or any interested State, Territory, county, town, municipality, or district thereof.

(3) BOND CONDITIONED UPON THE VOLUNTARY DEPARTURE OF AN ALIEN. In consideration of the granting by the Attorney General of an application of the above alien to depart voluntarily from the United States, provided there is furnished a suitable bond as authorized by 8 U.S.C. 1229c the obligor hereby furnishes such bond with the following conditions if: (1) the obligor ensures that the alien departs the United States on or before the date specified in the order granting voluntary departure, and provides probative documentation of the departure; or (2) the alien is actually accepted by the INS for detention or deportation/removal, this obligation shall terminate. Otherwise the amount of the bond specified in Paragraph C above shall become due and payable.

Mitigation (Applies to Item (G)(1))

An execution to the above occurs when the obligor or surety delivers the bonded alien within varying increments of the 30 calendar day period following the date of the bond breach. If the obligor or surety delivers the bonded alien within 10 days of the date of the breach, the obligor or surety shall receive a mitigation of 66.67% of the bond principal. If the obligor delivers the bonded alien within 20 days of the date of the bond breach, the obligor or surety shall receive a mitigation of 50% of the bond principal. If the obligor or surety delivers the bonded alien within 30 days of the date of the bond breach, the obligor or surety shall receive a mitigation of 30% of the bond principal. If the obligor delivers the bonded alien more than 30 days after the date of the bond breach, no amount will be mitigated and the full amount of the bond will be due from the obligor. Nothing in this paragraph precludes the INS from apprehending the bonded alien during the mitigation period. If the obligor elects to deliver the bonded alien to mitigate damages, it must give the appropriate INS office written notice of delivery not less than 72 hours prior to delivering the bonded alien. The requirement to provide written notice may be waived by the District Director or the District Director's designee in the appropriate circumstances.


(Bonded Alien) File No. ______________________________

Bond Receipt No. ______________________________

H. PLEDGE AND POWER OF ATTORNEY FOR USE WHEN UNITED STATES BONDS OR NOTES ARE DEPOSITED AS SECURITY.

I hereby pledge the United States Bond/Notes described in the following schedule as security for the performance and fulfillment of the obligations described in paragraph C above in accordance with 6 U.S.C. 15, 31 CFR part 225, and Treasury Department Circular 154. I appoint the Attorney General of the United States as my attorney to collect, sell, assign, and transfer said United States Bond or Note. In the case of any default in performance of conditions herein, my attorney shall have the power to collect without appraisal or valuation notice, and to apply the proceeds to the satisfaction of any damages, demands, or deficiencies arising from such default. I waive my right to redeem this security.

Title of Bond/Notes ______________________________

Coupons Attached ______________________________

Face Value ______________________________

Interest Rate ______________________________

Serial No. ______________________________

Interest Dates ______________________________

(Affix Seal Here if Required)


______________________________ (Signature of Person Pledging Bonds or Notes)

I. PLEDGE AND POWER OF ATTORNEY FOR USE WHEN CASH IS DEPOSITED AS SECURITY.

I hereby pledge the amount of ____________________ ($________________)

United States currency as security for the performance and fulfillment of the obligations described in paragraph C above. I appoint the Attorney General of the United States as my attorney to collect or to assign and transfer the said sum of money. I agree that, in case of default in the performance of any of the conditions herein to which I have subscribed, said attorney shall have full power to collect said sum of money or any part thereof or to assign and transfer said sum or any part thereof deemed appropriate by said attorney to the satisfaction of any damages, demands, or deficiencies arising by reason of such default. I further empower said attorney, in the event all the conditions herein to which I have subscribed have been complied with and the bond is canceled, to deliver the said sum of money plus any interest accrued thereon, to me at my risk and expense by such means as said attorney shall select.


(Affix Seal Here if Required)

______________________________ (Signature of Person Pledging Cash)


J. Before me, within the county/city/parish of ___________________________________

In ________________________________ the above named individual personally appeared before us, acknowledges the execution of the foregoing power of attorney, and deposited the security described above.

Witness our hands this _____ day of _____________________, _____________.

______________________________ (Signature)

______________________________ (Title)

______________________________ (Signature)

______________________________ (Title)

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