Form I-130 Petition for Alien Relative - DragonWins Home Page

Department of Homeland Security oMB #1615-0012; Expires 01131111
U.S. Citizenship and Immigration Services
I-130. PetitiOn fOr Alien RelatiVe
A#
Section of Law/Visa Category
[-l zot(b) Spout" - tR-l/cR-l
| | 20r(b)child-lR-2/cR-2
l-l zot(b) puent - tn-s
U
T n
! tr
203(a)(l) Unm. S or D - Fl-l
203(a)(Z)(A)Spouse - F2-l
203(a)(2)(A) Child - F2-2
203(a)(2)(B) Um. S or D - F2-4
203(a)(3) Mmied S orD - F3-l
tr 203(a)(4) BrothriSister - F4-l
Remarks:
DO NOT WR]TE IN THIS BLOCK - FOR USCIS OFFICE ONLY
Action Stamp
A. Relationship You are the petitioner. Your relative is the beneficiary.
em lrung Inrs peutron lor my:
l Husband./wife l-l Pur"nt l-l Brother/Sister ffi cnito
B. Information about vou
1. Name (Family name in CAPS)
BAHN
(First)
Wif l-iam
(Middle)
Louis
2. Address (Number and Street) (Apt. No.)
13199 Andiron Way
(Town or City)
T.: rlr qnr r r
J. rlace or |'rrln (rown or LlryJ
Grand Junction
4. Date of Birth
07/26/7965
(State/Country)
Col-orado
7. Other Names Used (including maiden name)
u.t_L_L bann
(ZiplPostal Code)
BO11B
(state/country)
Colorado
6. Marital Status
Fee Stamp
Petition was filed on:
(priority date)
! Personal Interuiew I Previously Foruaded
I f",. I e"n. " A" File Reviewed f| r-ass Filed Simuttueousty
fl Field Investigation I zo+lgl nesotvea
! zo:1a;121a; nesotveo l-l zo:(e) nesolvea
permanent
[ves XNo
C. Information about your relative
1. Name (Family name in CAPS)
CHIEN
2.Address (Number and Street)
No. 218 Shih-Ta Rd
(Town or City)
(First)
En-Chi
(State/Country)
Tiawan ROC
through
(Middle)
(Apt. No.)
(ZiplPostal Code)
100
3. Place of Birth (Town or City) (State/Country)
Tiawan ROC
5. Gender
4. Date of Birth 5. Gender 6. Marital Status
X uut" X uurri.o f slngt" no/)tr./)^A1 I Male I uameo Isingte
Ll remare f wloowed f-l Divorced
X pe.at. I wido*.d l-l oiuor..d
8.Date.an^d P]a^ce- qf Present Marriage (if married)
1-2/1'2/2008
El paso countv, cotorado
9. U.S. Social Security Number (Ifany)
523-r9-4257
10. Alien Registration Number
(none )
11. Name(s) of Prior Husband(s)Ailive(s)
( none )
12. Date(s) Marriage(s) Ended
( none )
8. Date and Place of Present Marriage (if married)
( none )
9, U.S. Social Security Number (lf-any) 10. Alien Registration Number
(none )
(none )
( none )
13. If you are a U.S. citizen, complete the following:
. My citizenship was acquired through (check one):
X si.ttt in the u.s.
l-l Naturalization. Give certificate number and date and place of issuance.
I"r
fl y.r. Give certificate number, date and place of issuance. I No
14. Ifyou are a lawful permanent resident alien, complete the following:
Date and place of admission for or adjustment to lawful p€rmanent
residence and class ofadmission.
N,/A
l4b. Did you gain permanent resident status through marriage to a
U.S. citizen or lawful permanent resident?
f, v"' INo
INITIAL RECEIPT RESl,tsMITTED RELOCATED: Rec'd
13.HasyourrelativeeverbeenintheU.S.? X Yes I No
14. If your relative is currently in the U.S., complete the following:
He or she arrived as a:
Nr .' / a
(visitor. student. stowaway. without inspection. etc. ) ' ' '
ttt|,i||tttl
Arrival/Departu re Record (I-94)
Date authorized stay expired, or will expire, as
shown on Form I-94 or I-95
15. Name and address of present employer (ifany)
(none )
Date this employment began
16. Has your relative ever been under immigration proceedings'l
X
T
uo tr Yes Where
When
Date arrived
Removal |-lExclusion/Deportation l-l Rescission lruOi"iut Proceedings

C. Information about r alien relative (continued
17. your relatrve.
(Name)
( none )
(Relationship) (Date of Birth) (Country of Birth)
(none )
( none )
( none )
18. Address in the United States where vour relative intends to live.
(Street Address)
13199 Andiron Way
(Town or City)
(State)
Colorado
19. Your relative's address abroad. (lnclude street, city, province and country)
No. 218 Shih-Ta Rd; Taipei, Taiwan R.O.C.
Phone Number (ifany)
866-2-2369),251
20. If your relative's native alphabet is other than Roman letters, write his or her name and foreign address in the native alphabet
(Name)
cF =
,lgr
tEl F.l I!
Address (Include street, city, province and country):
frig 6itfi ffitf* 2r8 ffi.
21. If filing for your husband/wife, give last address at which you lived together. (Include stree! city, province, if any, and country):
From:
N/A
To:
22. Complete the information below if your relative is in the United States and will apply for adjustment of status,
Your relative is in the United States and will apply for adjustment of status to that of a lawful permanent resident at the USCIS office in:
Ifyour relative is not eligible for adjustment ofstatus, he or she will apply for a
visa abroad at the American consular oost in:
N/A
N,/A
Taipei
Taiwan R-O-C-
(City) (State) (Citv)
NOTE: Designation of a U.S. embassy or consulate outside the country of your relative's last residence does not
processing by that post. Acceptance is at the discretion of the designated embassy or consulate.
D. Other information
1. Ifseparate petitions are also being submitted for other relatives, give names ofeach and relationship.
Shih-Yi CHrEN (Lrife)
2. Have you ever before filed a petition for this or any other alien? E y", X No
If"Yes," give name, place and date offiling and result.
(Country
guarantee accepance for
WARNING: USCIS investigates claimed relationships and verifies the validity of documents. USCIS seeks criminal prosecutions when family
relationships are falsified to obtain visas.
PENALTIES: By law, you may be imprisoned for not more than five years or fined $250,000, or both, for entering into a marriage contract for the
purpose of evading any provision of the immigration laws. ln addition, you may be fined up to $10,000 and imprisoned for up to five years, or both, for
knowingly and willfully falsifring or concealing a material fact or using any false document in submitting this petition.
YOUR CERTIFICATION: I certifu, under penalty of perjury under the laws of the United States of Americ4 that the foregoing is true and correct.
Fufthermore, I authorize the release of any information Aom my records that U.S. Citizenship and Immigration Services needs to determine eligiblity for
the benefit that I am seekins.
E. Signature of petitioneq
02/L6/2009
phoneNumber (719 ) 532-0186
F. Signature of person ring this form, if other than thC
I declare that I prepared this document at the request ofthe person above and that it is based on all information ofwhich I have any knowledge.
Print Name N/A Signature Date
Address N/A G-28 ID or VOLAG Number, if any. N'/A Form I-l 30 (Rev. 05127 108)Y Page 2