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efta-efta01190436DOJ Data Set 9Other• ..-).
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DOJ Data Set 9
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efta-efta01190436
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DEPARTMENT OF HOMELAND SECURITY
U.S. Citizenship and Immigration Services
26 Federal Plaza74:431
New York, NY 10278
Petitioner:
Beneficiary: SHULIAK, KARYNA
Address:
Dear Sir/ Madam:
File Number: A200I 76395
Date: June 12. 20 I 4
PLEASE USE THE BROADWAY ENTRANCE.
Please come to the office shown below at the time and place indicated in connection with an official matter.
OFFICE
LOCATION
26 Federal Plaza
ROOM #.
FLOOR #.
New York, NY
4.437
e ll
DATE & TIME OF
APPOINTMENT
JUNE 20, 2014 @ 1:00 PM
ASK FOR
Immigration Services Officer
REASON FOR
APPOINTMENT
1 - 130 INTERVIEW
BRING WITH YOU
SEE ATTACHMENT.
IT IN IMPOR I AN I TIIAT 1
KEEP I HIS APPOINTMENT AND BRING THIS LETTER won YOU:
If you are unable to do so state your reason, sign below and return this letter to this office at once.
CC: ARDA M BESKARDES
I am unable to keep the appointment because:
SIGNA'I•URE
DATE
Very truly yours,
Phyllis A. Coven
District Director
New York District
Form G36
(Rev. 5-I -VA
EFTA01190436
Who Must Attend:
Both the Petitioner and Beneficial), must attend this appointment. Your attorney or authorized
representative may attend as well.
Required_Evidence To Be Submitted In-Person At Your Appointment'
1) Photo identification for the Petitioner. Examples of proper photo identification are U.S. passports,
driver's licenses, or state-issued identification cards. Store-bought identification cards are not
considered proper identification. Failure to bring proper photo identification may result in the denial
of the petition.
2) Proof of Petitioner's U.S. Citizenship, such as U.S. birth certificate or naturalization certificate.
3) Beneficiary's passports (current and expired) and t-94 card.
4) Marriage Certificate and proof of termination (such as divorce decree or death certificate) of all prior
marriages or Petitioner and Beneficiary.
5) Birth certificates for children, current bank letters, bank statements, lease agreements, rent receipts,
mortgage agreements. health insurance policies, life insurance policies, utility bills, tax returns, and
photos.
6) Currently-dated employment letters from both Petitioner's and Beneficiary's employers.
Employment letters should he on company letterhead. The letter must state the dale employment
began, salary, marital status, dependents claimed, and whom to notify in case of emergency. The
letter must he signed by an official of the firm or company. The latest two pay stubs or statements
must also be submitted.
7) Federal, state and local income tax returns for the most recent tax year. Returns should he signed and
dated and proof of filing is required. Official IRS transcripts can be obtained by calling 1-800-829-
1040. Attach W-2's for both Petitioner and Beneficiary.
8) Two passport-style photographs fur Petitioner and Beneficiary (CIS-approved style).
9) OTHER:
NOTE: You must bring the originals and photocopies of all documents submitted during the
appointment, including photocopies of your passport and identification cards. Pursuant to 8 CFR
103.2(b)(1), the Service will retain for the record any original document submitted as evidence unless a
photocopy is made. Please assemble your documents for submission in a neat and organized manner.
limn G.56
(Rev. S-1-83)Y
EFTA01190437
ATTACHMENT TO G-56
IF YOU OR THE BENEFICIARY REQUIRES THE SERVICE OF AN
INTREPRETER, PLEASE FILL OUT THIS FORM AND RETURN IT TO:
U.S. Citizenship and Immigration Services
26 FEDERAL PLAZA 4"1 FL ROOM 437
NEW YORK, NY 10278
ATTN:
AOS 4
A:
NAME.
ADDRESS:
DATE & TIME OF INTERVIEW:
LANGUAGE DIALECT REQUIRING INTERPRETER (IF THERE IS
ONE)
form G-50
(Rev.'-1.S3)
EFTA01190438
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