Questionnaire for the United States Citizen Petitioner for K-1 Visa
Law Offices of Hoffman & Osorio, LLP will contact you after you complete this Questionnaire.
This will allow our Law Offices to quickly assess your case and setup a Free Consultation for you.
Your Last Name:
Your First Name:
Your Middle Name:
Your Phone:
Your Email Address:
Your Date of Birth -
Month:
Day:
Year: 19
Your City of Birth:
Your State of Birth:
Your Country of Birth * :
* If you were not born in the U.S. please indicate how you obtained your U.S. citizenship:
Naturalization
Please indicate naturalization certificate number, date, and place issued.
Naturalization Certificate Number:
Date Naturalization Issued -
Month:
Day:
Year: 19
Place Naturalization Issued:
Have you obtained a certificate of citizenship in your own name?
Yes
No
* If you have obtained a certificate of citizenship, please indicate number of certificate, date and place issued.
Citizenship Certificate Number:
Date Citizenship Issued -
Month:
Day:
Year:
Place Citizenship Certificate Issued:
Your Marital Status:
Single
Divorced
Widowed
Your Father's Last Name:
Your Father's First Name:
Your Father's Date of Birth -
Month:
Day:
Year: 19
Father's Place of Birth (City, State, Country):
Father's Current Residence (City, State, Country):
If no longer alive, please write "deceased":
Your Mother's Maiden Last Name:
Your Mother's First Name:
Your Mother's Date of Birth:
Month:
Day:
Year: 19
Mother's Place of Birth (City, State, Country):
Mother's Current Residence (City, State, Country):
If no longer alive, please write "deceased":
Information about your prior marriages (if any):
Ex-Spouse's Maiden Last Name:
Ex-Spouse's First Name:
Ex-Spouse's Date of Birth -
Month:
Day:
Year: 19
Date of Marriage -
Month:
Day:
Year: 19
Place of Marriage:
Date Marriage Officially Terminated -
Month:
Day:
Year: 19
Place Marriage Officially Terminated (city, state, country):
If you have been married more than once, please check here:
More Than One Prior Marriage
Do you have a certified copy of your divorce decree (judgment)?
Yes
No
Please list your past 3 residences starting with the most recent and working backward.
Current Residence:
Number and Street :
Apartment #:
City:
State:
Country:
Zip Code:
From (Month/Year):
To:
Prior Residence #1:
Number and Street :
Apartment #:
City:
State:
Country:
Zip Code:
From (Month/Year):
To (Month/Year):
Prior Residence #2:
Number and Street :
Apartment #:
City:
State:
Country:
Zip Code:
From (Month/Year):
To (Month/Year):
Have you been outside of the U.S. for more than one year, at any time. If yes, please check here:
Outside US for More Than One Year
Please list your past 3 employers, starting with your current employment.
Current Employer:
Company Name:
Street Address and Number:
City:
State:
Zip:
Job Title:
From (Month/Year):
To:
Prior Employer #1:
Company Name:
Street Address and Number:
City:
State:
Zip:
Job Title:
From (Month/Year):
To (Month/Year):
Prior Employer #2:
Company Name:
Street Address and Number:
City:
State:
Zip:
Job Title:
From (Month/Year):
To (Month/Year):
Have you ever worked outside of the U.S. ? If yes, please check here:
Worked Outside US
For Your Financial Information for the Affidavit of Support:
Annual Income:
Total Deposits in U.S. accounts:
Estimated value of personal property:
Market value of stocks and bonds:
Life insurance amount:
Cash surrender value, if any:
Value of real estate:
Mortgage amount (total principal, not your monthly payment):
Address of real estate:
Dependants - Please indicate any dependants below:
Dependant #1:
Last Name:
First Name:
Age:
Relationship:
Wholly or partially dependant:
Wholly
Partially
Dependant #2:
Last Name:
First Name:
Age:
Relationship:
Wholly or partially dependant:
Wholly
Partially
Dependant #3:
Last Name:
First Name:
Age:
Relationship:
Wholly or partially dependant:
Wholly
Partially
If you have more than three dependents, please check here:
More than 3 Dependents
Have You filed ANY Prior INS Petitions? If yes, please check here:
Filed Prior INS Petition
Have You filed ANY Prior Affidavits of Support? If yes, please check here:
Filed Prior Affidavit of Support
Will your fiancée live at your address?
Yes
No
Is your fiancée related to you?
Yes
No
Date and place of your most recent meeting with your fiancée:
Date (Month/Year):
Place (City, Country):
If more than one meeting, please list dates and corresponding places of meetings below:
Dates (Month/Year):
Places (City, Country):
If you did not have enough space above for some of your information or if there is additional information that you believe we should be made aware of, please use the blank space below.
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