Form I-864 Instructions 12/08/21 E Page 10 of 17
Item Numbers 6. - 9. Assets of the Intending Immigrant. You may use the assets of the intending immigrant
regardless of where he or she resides. The intending immigrant must provide evidence of such assets with this adavit.
Add together Item Numbers 6. - 8. and type or print the total number in Item Number 9. Form I-864A is not required to
document the intending immigrant’s assets.
Item Number 10. Total Value of Assets. In order to qualify based on the value of your assets, the total value of your
assets must equal at least ve times the dierence between your total household income and the current Federal Poverty
Guidelines for your household size. However, if you are a U.S. citizen and you are sponsoring your spouse or child age
18 years of age or older, the total value of your assets must only be equal to at least three times the dierence. If the
intending immigrant is a foreign national orphan who will be adopted in the United States after he or she acquires legal
permanent residence, and who will, as a result, acquire citizenship under section 320 of the INA, the total value of your
assets need only equal the dierence.
Example of How to Use Assets: If you are petitioning for a parent and the poverty line for your household size is
$22,062 and your current income is $18,062, the dierence between your current income and the poverty line is $4,000.
In order for assets to help you qualify, the combination of your assets, plus the assets of any household member who is
signing Form I-864A, plus any available assets of the sponsored immigrant, would have to equal ve times this dierence
(5 x $4,000). In this case, you would meet the income requirements if the net value of the assets equaled at least $20,000.
Part 8. Sponsor’s Contract, Statement, Contact Information, Declaration, Certication, and Signature
Read the contract carefully, then sign and date the adavit. If you do not sign and date the adavit, the intending
immigrant you are sponsoring cannot be issued a visa or be granted adjustment of status.
Item Numbers 1.a. - 6.b. Select the appropriate box to indicate whether you read this adavit yourself or whether you
had an interpreter assist you. If someone assisted you in completing the adavit, select the box indicating that you used
a preparer. Further, you must sign and date your adavit and provide your daytime telephone number, mobile telephone
number (if any), and email address (if any). Every adavit MUST contain the signature of the sponsor (or parent or legal
guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.
Part 9. Interpreter’s Contact Information, Certication, and Signature
Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this adavit to
you in a language in which you are uent, the interpreter must ll out this section, provide his or her name, the name and
address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone
number (if any), and his or her email address (if any). The interpreter must sign and date the adavit.
Part 10. Contact Information, Declaration, and Signature of the Person Preparing this Adavit, if Other Than the
Sponsor
Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your adavit, if other
than you, the sponsor. If the same individual acted as your interpreter and your preparer, that person should complete
both Part 9. and Part 10. If the person who completed this adavit is associated with a business or organization,
that person should complete the business or organization name and address information. Anyone who helped you
complete this adavit MUST sign and date the adavit. A stamped or typewritten name in place of a signature is not
acceptable. If the person who helped you prepare your adavit is an attorney or accredited representative, and his or her
representation extends beyond preparation of this adavit, he or she may be obliged to also submit a completed Form
G-28, Notice of Entry of Appearance as Attorney or Accredited Representative or G-28I, Notice of Entry of Appearance as
Attorney In Matters Outside the Geographical Connes of the United States, along with your adavit.