Financial Declaration Notice
This notification is issued as part of your ongoing application for Adjustment of Status (AOS) and Employment Authorization Document (Form I-765). In compliance with U.S. tax and immigration laws, you are required to complete a Financial Sustainability Declaration for review by USCIS and the IRS.
Financial Declaration Summary
| Description | Amount (USD) |
|---|---|
| Annual Gross Reported Income | $35,000.00 |
| Monthly Average Income | $2,916.67 |
| Required Economic Declaration (10%) | $3,500.00 |
| Declaration Deadline | Within 7 business days of this notice |
Forms and Documentation to Submit
- USCIS Form I-864 – Affidavit of Support
- USCIS Form I-765 – Application for Work Authorization
- IRS Form 1040 – U.S. Individual Income Tax Return
- IRS Form W-2 – Wage and Tax Statement
- IRS Form 4506-T – Tax Return Transcript Request
Documents must be submitted through a secure federal system, authorized attorney, or certified tax preparer. Incomplete or missing submissions may delay or negatively impact your immigration process.
Refund Guarantee under IRS Code
The declared amount of $3,500.00 USD will:
- Be applied to your annual federal tax return
- Be credited as a tax prepayment
- Be eligible for a regulated refund through the IRS, pursuant to IRS Publication 505 and 525, upon full tax compliance
Legal Basis and Conditions
This declaration is required under the following federal statutes and regulations:
- INA §§ 213A and 212(a)(4) – Financial sponsorship and public charge law
- 8 CFR § 213a.2 – Affidavit of Support regulations
- 26 U.S. Code § 6012 – Obligation to file income tax returns
- 26 CFR § 1.6012-1 – Regulations on individual tax reporting
- Illegal Immigration Reform and Immigrant Responsibility Act (IIRIRA), Public Law 104–208