Form I-864A, Contract Between Sponsor and Household Member

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Form I-864A, Contract Between Sponsor and Household Member

Form I-864A is the USCIS contract between a sponsor and a household member who promises to make income and/or assets available for a sponsored immigrant. Fill out the PDF online on FillingPDF and download or print it.
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Form I-864A, Contract Between Sponsor and Household Member, is the U.S. Citizenship and Immigration Services (USCIS) attachment to Form I-864, Affidavit of Support Under Section 213A of the INA. A sponsor whose own income and assets fall short uses an I-864A so that a household member can add his or her income and/or assets and share responsibility for the sponsored immigrant. On this page you can fill out the I-864A online on FillingPDF and download or print the completed PDF. USCIS publishes the form, its instructions and the current filing information.

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What is I-864A?

Form I-864A, Contract Between Sponsor and Household Member, is the USCIS attachment to Form I-864, Affidavit of Support Under Section 213A of the INA, in which a household member promises to make income and/or assets available to help support a sponsored immigrant.

The contract is signed by two people: the sponsor who completes Form I-864 and the household member. By signing, the household member becomes jointly responsible, along with the sponsor, for the support of the immigrants named in Part 5. The household member's obligations end when the sponsor's obligations under the Affidavit of Support end.

The form may be used only when the sponsor's own income and assets do not meet the income requirements of Form I-864 and the qualifying household member chooses to combine his or her resources with the sponsor's. A separate Form I-864A is required for each household member whose income and/or assets the sponsor relies on.

The household member completes Parts 1 to 4 and Part 6. The sponsor completes Part 5. Part 7 is for an interpreter, Part 8 for a preparer and Part 9 for additional information. Household member and sponsor are both bound by the promise to keep the sponsored immigrants at or above the minimum income in INA section 213A(a)(1)(A), which the form describes as not less than 125 percent of the Federal Poverty Guidelines. The form is not a stand-alone application: it is filed with Form I-864.

Who needs to file I-864A?

A sponsor who is completing Form I-864 and needs a household member's income and/or assets to meet the income requirements uses Form I-864A together with that household member. The sponsor must be an individual, not a business or organization.

A household member who is at least 18 years old may sign if he or she is one of the following:

  • the intending immigrant, when the sponsor relies on the immigrant's continuing income to support the immigrant's spouse or children;
  • the sponsor's spouse;
  • the sponsor's parent, child, adult son or daughter, or sibling who has the same principal residence as the sponsor;
  • any other individual the sponsor lawfully claimed as a dependent on the sponsor's most recent federal income tax return, even if that person lives elsewhere.

If more than one person agrees to help, each one signs a separate Form I-864A.

The intending immigrant whose income is included on Form I-864 completes the contract only if he or she has accompanying dependents. If only the immigrant's assets are included, the contract is not needed, even with accompanying dependents. A legal guardian may sign for a person under guardianship and must present proof of the appointment and a court or agency order allowing the guardian to make the person's income and assets available.

When to file I-864A

File Form I-864A at the same time as Form I-864: the instructions state that the contract must be filed with Form I-864. It has no separate deadline of its own, so its timing follows that of the affidavit of support it supports.

Prepare it whenever the sponsor's income and assets alone do not meet the Form I-864 requirements and a household member agrees to add his or her resources. USCIS may also ask for more information, original documents, an interview or a biometrics appointment after filing; if you skip a biometrics appointment, USCIS may deny the contract. The household member's obligations end when the sponsor's obligations under the Affidavit of Support end.

Documents you need

  • IRS tax transcript or a photocopy of your federal individual income tax return for the most recent tax year; it need not be certified by the IRS unless a government official asks.
  • Every Form W-2 and Form 1099 that relates to the return, only if you submit a photocopy of the return rather than an IRS transcript (include them with a transcript only if you filed jointly with your spouse).
  • Every Form 1040 schedule you filed, such as Schedule C, D, E or F, if you checked self-employed in Part 3.
  • Optional: transcripts or photocopies of your returns for the second and third most recent tax years, if they help show your ability to maintain sufficient income.
  • A typed or printed explanation if you were not required to file a federal return because your income was too low; if exempt for another reason, add evidence of the exemption and how you qualified.
  • Any late federal return you were required to file but did not, with an IRS transcript or copy of it.
  • Proof that your income will continue from a lawful source after immigration, if you select Part 2, Item 1 or Item 2.
  • Proof that you have the same principal residence as the sponsor, if you select Part 2, Item 2, or Item 3 with a relative other than a spouse; for relatives also proof of the relationship.
  • For assets listed in Part 4: a description, proof of ownership and the basis for the net cash value claimed; for a home, ownership documents, a recent appraisal by a licensed appraiser and evidence of every loan or lien on it.
  • A full English translation of any foreign-language document, with the translator's signed certification of completeness, accuracy and competence, printed name and contact information.
  • Form G-28 or G-28I, if an attorney or accredited representative represents you (check the box at the top of page 1).
  • Proof of guardianship appointment and a court or agency order permitting the guardian to make your income and assets available, if a legal guardian signs for you.

How to fill out I-864A

  1. Confirm who completes each part

    The household member completes Parts 1 to 4 and Part 6; the sponsor completes Part 5. Use black ink or type, and write "N/A" where a question does not apply.

  2. Enter your name and addresses

    In Part 1, Item 1, give your full name. Items 2 and 3 ask for the mailing address and whether it is also your physical address; if you answer No, give the physical address in Item 4.

  3. Add personal identifiers

    Enter your date of birth as mm/dd/yyyy (Item 5), country of birth (Item 6), U.S. Social Security Number if any (Item 7), A-Number or "N/A" (Item 8) and USCIS Online Account Number if you have one (Item 9).

  4. Select your relationship to the sponsor

    In Part 2, choose Item 1 (intending immigrant and sponsor's spouse), Item 2 (intending immigrant and household member) or Item 3 (not the intending immigrant), then check the relationship box. "Other Dependent" requires being listed on the sponsor's most recent federal return.

  5. Report employment and income

    In Part 3, select every box that applies in Items 1 to 6, giving employer names, retirement or unemployment dates as asked. In Item 7 enter your current individual annual earned or retirement income.

  6. Complete the tax information

    In Part 4, Item 1, check Yes if you filed a federal return for each of the three most recent tax years. In Item 2 enter the total income for the most recent year, and for the second and third if you rely on them; enter "zero" or "N/A" if none.

  7. List assets only if needed

    Items 3 to 5 cover cash and accounts, net real-estate value and other assets; Item 6 is their total. Complete them only if the sponsor is using your assets.

  8. Have the sponsor complete Part 5

    The sponsor lists each intending immigrant (up to four) with date of birth and A-Number, selects Item 5.a or 5.b (and 6 if a preparer helped), adds contact details in Items 7 to 9 and signs and dates in Item 10.

  9. Complete your promise in Part 6

    Print the number of intending immigrants, select Item 1.a or 1.b (and Item 2 if a preparer helped), and give your phone numbers and email in Items 3 to 5. Print your name in Item 6, then sign and date in Item 7.

  10. Add interpreter and preparer details

    If an interpreter read the form to you, the interpreter completes and signs Part 7. If someone other than the sponsor or you prepared it, that person completes and signs Part 8; one person acting as both completes both parts.

  11. Use Part 9 for extra space

    Put additional answers in Part 9, repeating your name and A-Number and giving the page, part and item number each answer refers to. Sign and date any extra sheet.

  12. Review, sign and download the PDF

    Check that every part is complete, both signatures are in place and the evidence is ready. Download or print the completed PDF from FillingPDF and file it with Form I-864 as described under How to submit.

How to submit I-864A

Form I-864A is not sent on its own: it is filed together with Form I-864. The instructions direct you to www.uscis.gov/I-864 for the most current information about where to file, and to www.travel.state.gov for filing with the U.S. Department of State (DOS).

  • With Form I-864 at USCIS: follow the where-to-file information at www.uscis.gov/I-864.
  • With DOS: see www.travel.state.gov for consular filing information.

If you print the form to mail it, the form edition date and page numbers must be visible at the bottom of every page, and all pages must come from the same edition; USCIS may reject the form if pages are missing or from a different edition. A photocopy, fax or scan of the original with a handwritten ink signature is valid for filing. Sign it: USCIS rejects an unsigned contract. The instructions point to Form G-1055 for the fees that apply to this form. Do not mail the completed form to the Camp Springs, MD address in the Paperwork Reduction Act notice. For questions, call the USCIS Contact Center at 800-375-5283 (TTY 800-767-1833). FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Submitting Form I-864A without Form I-864; the instructions say the contract must be filed with Form I-864.
  • Leaving the contract unsigned, or typing or stamping a name instead of signing; USCIS rejects it when the signature is missing or invalid.
  • Using one Form I-864A for several household members; a separate form is needed for each person whose income and/or assets are used.
  • Listing assets when only your income is being used, or listing assets as an intending immigrant with no accompanying dependents; those go on Form I-864, Part 7.
  • Including income from illegal activities or means-tested public benefits in your annual income; neither may be relied on.
  • Sending state income tax returns, or foreign tax returns when a federal return was required.
  • Photocopying a return without every Form W-2 and Form 1099 that relates to it, or omitting the schedules filed as a self-employed person.
  • Mailing printed pages that are missing, or that come from a different form edition than the others; USCIS may reject the form.
  • Submitting foreign-language documents without a full English translation and the translator's certification.
  • Leaving a question blank instead of writing "N/A" or "None", or using extra space without noting the page, part and item number.

Frequently asked questions

What is Form I-864A used for?

Form I-864A is a contract in which a household member promises to make income and/or assets available to help a sponsor support a sponsored immigrant. It is an attachment to Form I-864, used only when the sponsor's own income and assets do not meet the I-864 requirements.

Who can be a household member on Form I-864A?

A person at least 18 years old who is the intending immigrant (in the cases the instructions describe), the sponsor's spouse, a parent, child, adult son or daughter or sibling sharing the sponsor's principal residence, or anyone the sponsor claimed as a dependent on the latest federal tax return.

Do I file Form I-864A by itself?

No. The instructions say the I-864A must be filed with Form I-864, Affidavit of Support. For where to file, USCIS directs you to www.uscis.gov/I-864, and to www.travel.state.gov for filing with the Department of State.

Can I fill out Form I-864A online?

You can fill out the I-864A PDF online on FillingPDF and download or print it. FillingPDF is independent and does not file it with USCIS; you file the signed form with Form I-864 through the USCIS or DOS channels.

What documents do I attach to Form I-864A?

Attach your IRS transcript or a photocopy of your federal return for the most recent tax year, with every W-2 and 1099 if you send a photocopy. Add proof of relationship, residence, continuing income or asset ownership where your answers call for it, plus translations of foreign-language documents.

Does each household member need a separate Form I-864A?

Yes. A separate Form I-864A must be used for each household member whose income and/or assets the sponsor is using. Each form is signed by the sponsor and by that household member.

Do I have to list my assets on Form I-864A?

Only if the sponsor is using the value of your assets. If only your income is used, skip Part 4, Items 3 to 5. An intending immigrant with no accompanying dependents lists assets on Form I-864, Part 7, instead.

Can someone sign Form I-864A for me?

Only a legal guardian, for a person under guardianship. The guardian must present proof of the appointment and a court or agency order permitting your income and assets to be made available. A stamped or typewritten name is never accepted in place of a signature.

How long does a household member stay responsible?

The household member's obligations under the contract end when the sponsor's obligations under the Affidavit of Support end. The form also says that ending a marriage to the sponsor or sponsored immigrant does not relieve you of your obligations.

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